腹腔镜广泛子宫切除加盆腔淋巴结清扫术治疗早期宫颈癌疗效观察

目的：通过与开腹手术下行广泛子宫切除加盆腔淋巴结清扫术比较，探讨腹腔镜治疗早期宫颈癌的临床疗效。方法：选取36例早期宫颈癌患者，根据手术方法不同分组，开腹手术治疗者16例为开腹组，行腹腔镜治疗的20例患者为腹腔镜组。观察两组手术情况及术后随访1年癌症总体评价量表评分。结果：两组患者在手术时间、出血量、淋巴结摘除数、术后排气时间、并发症发生率及总体评分量表评分方面比较，差异均有统计学意义（P〈0．05）。结论：腹腔镜与开腹广泛子宫切除加盆腔淋巴结清扫术治疗早期宫颈癌比较，腹腔镜疗效优于开腹组。

Efficacy Observation of Laparoscopic Extensive Hysterectomy and Pelvic Lymphadenectomy in the Treatment of Early Cervical Cancer

Objective： To investigate the clinical efficacy of laparoscopic treatment and laparotomy for extensive hysterectomy and pelvic lymphadeneetomy in early cervical cancer.Method： 36 patients with early cervical cancer, grouped according to the different surgical methods, 16 cases underwent laparotomy treatment, 20 patients underwent laparoscopic treatment.surgery and overall assessment scale score after 1-year were observed.Result： About operative time, amount of bleeding, lymph node removal number, the exhaust time after surgery, the complication rate and overall assessment scale score in the two groups, there were statistically significant （ P〈0.05 ） .Conclusion： About extensive hysterectomy and pelvic lymphadenectomy in treatment of early cervical cancer, Laparoscopic treatment is superior to laparotomy for extensive hysterectomy and pelvic lymphadenectomy in early cervical cancer.