腹腔镜手术治疗早期宫颈癌的效果分析

目的探讨腹腔镜手术治疗早期宫颈癌的可行性、安全性及相关注意事项。方法回顾性分析本院腹腔镜下对Ib～Ⅱb期宫颈癌施行广泛全子宫切除及盆腔淋巴结清扫术20例患者（腹腔镜组）的临床资料。选择同期10例早期宫颈癌患者行开腹广泛全子宫切除及盆腔淋巴结清扫术（开腹组）。比较两种术式的手术时间、清除淋巴结数、术中出血量、术后肠道恢复情况、住院时间等情况。结果腹腔镜组及开腹组手术均获成功，两组手术所用时间、清除淋巴结数差异无统计学意义（P〉O．05），而患者住院时间及术后肠道功能恢复时间明显短于开腹组，术中出血量明显少于开腹组（P〈O．01）。结论腹腔镜下广泛全子宫切除及盆腔淋巴结清扫术治疗早期宫颈癌可将手术视野放大6-8倍，利于操作，是安全、可行、有效的方法，且具有创伤较小、术中出血量少、术后恢复快等优点。

Effect analysis of laparoscopic surgery in treatment of early cervical cancer

Objective To explore the feasibility, safety and related precautions of laparoscopic surgery in the treatment of early cervical cancer. Methods The clinical data of 20 cases of patients with I b- Ⅱ b cervical cancer implemented laparoscopic extensive hysterectomy and pelvic lymphadenectomy were retro- spectively analyzed （laparoscopic group）,while,10 cases of patients with early cervical cancer implemented extensive abdominal hysterectomy and pelvic lymphadenectomy were chosen as the laparotomy group.The operation time,number of lymph nodes removed,loss of intraoperative blood,recovery of postoperative in- testinal,length of hospital stay of two groups was compared. Results The two groups surgery were all suc- cessful.There were no significant difference about the operation time,number of lymph node removed be- tweent the two groups （P〉O.05）,while hospitalization time and postoperative intestinal function recovery time of laparoscopic group was obviously shorter than that of the laparotomy group respectively,the blood loss was less than that of the laparotomy group （P〈0.01）. Conclusion Laparoscopic extensive hysterectomy and pelvic lymphadenectomy in the treatment of earIy cervical cancer can amplify the surgical field for 6 to 8 times,which is conducive to the operation,and is a safe,feasible and effective surgery.This surgical approach has the advantage of less intraoperative bleeding and fast postoperative recovery.