腹腔镜辅助下阴式子宫全切除术治疗宫颈原位癌的价值

目的对比分析腹腔镜辅助下阴式子宫全切除术与腹式全子宫切除术治疗宫颈原位癌的临床疗效。方法将60例宫颈原位癌的患者随机分为对照组和观察组，观察组30例行腹腔镜辅助下阴式子宫全切除术，对照组30例行腹式子宫全切除术，观察两组患者的术中、术后及术后随诊情况。结果观察组的手术时间、术中出血量分别为（60．58±15．78）min、（148．11±45．44）mL明显少于对照组的（65．57＋16．85）rain、（157．28±46．25）mL，差异有统计学意义（P〈0．05）：观察组的术后排气时间、住院时间、抗感染时间、恢复体力时间分别为（36．00±5．06）h、（5．00±1．12）d、（9．80±1．15）d、（14．80±2．85）d明显短于对照组的（41．57±5．58）h、（9．00±1．21）d、（12．55±2．12）d、（22．40±3．23）d，差异有统计学意义（P〈0．05）：观察组的并发症发生率和原位癌术后残留率均为3．33％明显低于对照组的20．0％和6．67％（P〈O．05）。结论腹腔镜下阴式子宫全切除术治疗宫颈原位癌具有创伤小、术后阴道流血时间短、可探查全腹腔等优势．值得推广应用。

The value of laparoscopic assisted vaginal hysterectomy in the treatment of cervical situ carcinoma

Objective To compare the clinical efficacy between laparoscopic assisted vaginal hysterectomy and abdominal hysterectomy in the treatment of cervical situ carcinoma.Methods 60 cases of patients with cervical situ carcinoma were randomly divided into the control group and the observation group,each group had 30 cases.The observation group was received laparoscopic assisted vaginal hysterectomy treatment,while the control group was given abdominal hysterectomy treatment.The intraoperative,postoperative and postoperative follow-up situation were observed.Results After treatment,the operative time,operative amount of bleeding was(60.58±15.78) min,(148.11±45.44) mL respectively,which were less than(65.57±16.85) min and(157.28±46.25) mL of the control group(P < 0.05).Postoperative exhaust time,length of hospital stay,anti-infection time,physical restore time of the observation group were(36.00±5.06) h,(5.00±1.12) d,(9.80±1.15) d and(14.80±2.85) d respectively,which were shorter than(41.57±5.58) h,(9.00±1.21) d,(12.55±2.12) d and(22.40±3.23) d of the control group(P < 0.05).The incidence of complications and residual rate of situ carcinoma was 3.33% respectively in the observation group,which were lower than 20.0% and 6.67% in the control group(P < 0.05).Conclusion Laparoscopic assisted vaginal hysterectomy in the treatment of cervical situ carcinoma has the advantages of small trauma,short time of vaginal bleeding and detection of the abdominal cavity,it should be applied in clinic.