宫颈癌根治术腹腔镜与开腹手术的临床对照研究

目的 对比宫颈癌根治术腹腔镜与开腹手术的疗效及安全性.方法 选取60例宫颈癌患者,随机分为2组.对照组(30例)采用开腹手术进行治疗,观察组(30例)采用腹腔镜下宫颈癌根治术.观察并记录2组围手术期指标,切除范围,术后24 h、1个月、3个月的VAS评分及随访3个月期间并发症发生情况,评价2种手术方法的疗效及安全性.结果 观察组患者手术时间长于对照组患者,但术中出血量少于对照组(P<0.05),排气时间也短于对照组(P<0.05);2组淋巴结清扫数目、术后留置尿管时间相比,无统计学差异(P>0.05);2组切除范围相比,无统计学差异(P>0.05).术后24 h内,2组VAS评分相比,无统计学差异(P>0.05);术后1个月、3个月,观察组VAS评分低于对照组(P<0.05).随访3个月期间,观察组总并发症发生率26.7%,显著低于对照组的53.3%(P<0.05).结论 腹腔镜下宫颈癌根治术对宫颈癌具有较好的治疗效果,手术创伤小,对内脏器官干扰小,术后疼痛感轻,并发症少,值得临床推广.

Comparison of Laparoscopic and Open Surgery in the Treatment of Cervical Cancer

Objective To compare the laparoscopic and open surgery in the treatment of cervical cancer. Methods 60 patients with cervical cancer were selected,they were divided into 2 groups randomly. The observation group (30 cases) was given radical hysterectomy under laparoscopic. The control group (30 cases) was given open surgery. The efficacy and safety of laparo-scopic and open surgery in the treatment of cervical cancer was evaluated by perioperative indexes,resection range,VAS scores af-ter 24 h,1 month and 3 months operation. Results The surgical time of the observation group was longer than that of the control group(P<0. 05). But the bleeding volume of the observation group was less than that of the control group(P<0. 05). The ex-hausting time of the observation group was shorter than that of the control group(P<0. 05). There were no statistical significance in lymph node dissection number and postoperative indwelling catheter time between the 2 groups. There were no statistical signifi-cance on resection range between the 2 groups. 24 h after operation,there were no statistical significance in VAS scores between the 2 groups(P>0. 05). 1 month and 3 months after operation,the VAS scores of the observation group was lower than that of the control group(P<0. 05). During 3 months follow-up,the complication rate of the observation group was 26. 7%,the complication rate of the control group was 53. 3%. The complication rate was lower in the observation group(P<0. 05). Conclusion Radical hysterectomy under laparoscopic had a good therapeutic effect on cervical cancer. It has slight operative trauma,small interference on organs,less pain and complications. It is worthy of clinical application.