腹腔镜与开腹宫颈癌根治术的临床对比分析

目的探讨腹腔镜在宫颈癌根治术中的安全性和有效性。方法回顾分析30例Ⅰa～Ⅱb期行腹腔镜下宫颈癌根治术的患者与同期33例开腹手术患者临床资料。结果腹腔镜组与开腹组手术时间、术中出血量、术后肛门排气时间、下床活动时间、住院天数、术后伤口感染发生率等差异均有统计学意义（P〈0．01或P〈0．05），而清扫淋巴结数目差异无统计学意义（P〉0．05）。结论腹腔镜下宫颈癌根治术是安全可行的，且具有手术切口小、创伤小、术后恢复快等优点。

Clinic research of laparoscopic and abdominal radical hysterectomy and abdominopelvic lymphadenectomy

Objects To research the therapeutic efficacy of the laparoscopic and abdominal radical hysterectomy and abdominopelvic lymphadenectomy. Methods 30 patients of biopsy-confirmed early stage cervical carcinoma treated with laparoscopic radical hysterectomy and abdominopelvic lymphadenectomy and 33 patients with abdominal surgery. Their clinical data were analyzed. Results There were statistic differences in operative time, volume of irttraoperative bleeding, time of anal aerofluxus, time of ambulation, postoperative hospital stay, and the septic incision rates between two methods（P〈0.01 or P〈0.05）, There was no statistic difference in the number of lymph nodes cleared between two methods（P〈0.05）. Conclusion Laparoscopic radical hysterectomy and abdominopelvic lymphadenectomy is feasible and safe, which is more advantage than abdominal surgery, such as small operative incision, less operation trauma and early recovery.