腹腔镜与开腹手术在子宫颈癌治疗中的对比研究

目的:探讨腹腔镜辅助的子宫颈癌手术与传统开腹手术临床效果的差异。方法:回顾性研究5年（2010年1月至2015年1月）在上海交通大学附属第一人民医院妇科行子宫颈癌腹腔镜根治手术的60例患者临床资料，选择同期同组医生施行的子宫颈癌传统开腹根治手术70例作为对照组，比较两组围手术期情况。结果:腹腔镜组与开腹组在术中清扫淋巴结数目差异无统计学意义(P＞0.05)。腹腔镜组手术时间短，术中失血少、术后发热率低、抗生素使用少，胃肠功能恢复快、住院时间短，与开腹组差异有统计学意义(P＜0.05)。开腹组切口延期愈合率高于腹腔镜组(P＜0.05)，而其他并发症组间无显著性差异(P＞0.05)。结论:在熟练技术下，腹腔镜手术是治疗早期子宫颈癌安全可行的选择，值得推广。

Comparative study on laparoscopic surgery and laparotomy in treating cervical cancer

Objective:To compare outcomes between laparoscopic surgery and traditional laparotomy for the treatment of early stag cervical cancer.Methods:We retrospectively analyzed the medical records of 60 patients with cervical cancer treated by laparoscopic surgery between January 2010 and January 2015,comparing data using the same surgeons' traditional laparotomy cases of 70 patients during the same period.Results:There was no significant difference between laparoscopy and laparotomy groups in the number of excised lymph nodes(P＞0.05).However,the laparoscopy group showed shorter operating time,lower blood loss,lower febrile morbidity,rapid postoperation rehabilitation of the digestion tract,and shorter postoperative hospital stay(P＜0.05).The incidence of wound disruption was higher in laparotomy group than in laparoscopy group(P＜0.05),while there was no significant difference in other complications(P＞0.05).Conclusion:Laparoscopy can be considered a better therapeutic option for cervical cancer.