摘要:
目的 比较开腹手术和腹腔镜下宫颈癌根治术对于早期宫颈癌的效果。 方法 选取80例早期宫颈癌患者,采用电脑随机分组法将其分成2组,各40例。对照组行开腹手术治疗,观察组行腹腔镜下宫颈癌根治术治疗。比较2组手术治疗情况、切除范围、术后恢复和并发症发生情况。 结果 观察组术中出血量为(383.59±126.47)mL, 显著少于对照组的(451.02±135.28)mL(P<0.05); 观察组手术时间为(297.15±46.48)min, 显著长于对照组的(258.39±45.62)min(P<0.05)。2组淋巴结清扫数量、左侧宫旁组织切除长度、阴道切除长度、右侧宫旁组织切除长度无显著差异(P>0.05); 观察组排气时间、住院时间显著短于对照组,住院费用高于对照组(P<0.05); 观察组并发症发生率为7.50%, 显著低于对照组的27.50%(P<0.05)。 结论 开腹手术与腹腔镜下宫颈癌根治术治疗早期宫颈癌均可有效清除病灶,切除范围无明显差异,但后者能够有效减少患者手术创伤,降低并发症发生风险,促进患者早期康复。
关键词:
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开腹手术
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宫颈癌
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腹腔镜
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并发症
Abstract:
Objective To compare the effect of open surgery and laparoscopic radical resection of cervical cancer in treatment of early cervical cancer. Methods A total of 80 patients with early cervical cancer were divided into two groups according to computer random grouping method, with 40 patients in each group. The control group received open surgery, and the observation group received laparoscopic radical resection of cervical cancer. The operative treatment conditions, resection area, postoperative recovery and complications were compared between the two groups. Results In the observation group, the intraoperative blood loss was(383.59±126.47)mL, which was less than(451.02±135.28)mL in the control group, and the operative time was(297.15±46.48)min, which was longer than(258.39±45.62)min in the control group(P<0.05). There were no significant differences between the two groups in the number of lymph nodes dissected, the length of left parastinal tissue resection, the length of vaginal resection, and the length of right parastinal tissue resection(P>0.05). The exhaust time and hospitalization time in the observation group was significantly shorter than those in the control group, and the hospitalization expenses was significantly higher than that in the control group(P<0.05). The incidence of complications in the observation group was 7.50%, which was lower than 27.50% in the control group(P<0.05). Conclusion Both open surgery and laparoscopic radical resection of cervical cancer in the treatment of early cervical cancer can effectively remove the focus, and there is no significant difference in the scope of resection, but the latter can effectively reduce surgical trauma, reduce the risk of complications, and promote early recovery.
百度学术
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