摘要
目的探讨经腹腔镜广泛子宫切除和盆腔淋巴结切除术治疗子宫颈癌的效果。方法将入组患者随机分2组,分别行经腹腔镜广泛子宫切除加盆腔淋巴结切除术、开腹广泛全子宫切除术及盆腔淋巴结清扫术,比较2组的手术时间、切口长度、术中出血量;观察2组患者术中、术后的并发症,计算其发生率;比较2组患者术后情况,包括术后肛门排气时间、住院时间、镇痛时间、总体费用。结果腹腔镜组手术时间较开腹组延长,切口长度、术中出血量与开腹组比较减少,手术成功率较开腹组明显升高,差异均有统计学意义(P<0.05);腹腔镜组术中、术后并发症的发生率均低于开腹组,差异有统计学意义(P<0.05);腹腔镜组术后肛门排气时间、术后住院时间、术后镇痛时间、抗生素使用时间与开腹组比较明显缩短,术后疼痛评分较开腹组减轻,差异均有统计学意义(P<0.05);在总体费用上2组比较差异无统计学意义(P>0.05)。结论采用腹腔镜下广泛子宫切除加盆腔淋巴结切除术治疗宫颈癌能够缩小手术切口,减少术中出血量,缩短术后排气时间、术后住院时间、术后镇痛时间,降低术中、术后并发症的发生率,安全有效。
Objective To analyze the therapeutic effect of laparoscopic hysterectomy and pelvic lymph node dissection in the treatment of cervical cancer. Methods Cervical cancer patients were randomly assigned into 2 groups, and were treated with laparoscopic uterine resection and pelvic lymph node resection, open widely the uterus resection surgery and pelvic lymph node cleaning operation. Operation time,incision length, operative blood loss were compared;intraoperative and postoperative com- plications were observed, the incidence was calculated ; postoperative anal exhaust time, hospitalization time, duration of analgesia, the overall cost after operation were compared between the 2 groups. Results Operation time of laparoscopic group was longer than that of laparotomy group ; incision length and intraoperative bleeding amount of laparoseopic group were less than those of lap- arotomy group;surgical success rate increased significantly in the laparoscopic group ,the difference was statistically significant（ P 〈0.05 ）;incidence of intraoperative and postoperative complications of laparoseopic group were lower than those of laparotomy group, the difference was statistically significant（ P 〈 0.05 ） ;postoperative anal exhaust time, postoperative hospital stay, postoper- ative analgesia time, antibiotic use time of laparoscopic group were significantly shorter than laparotomy group, postoperative pain score was lighter than laparotomy group ,the difference was statistically significant（ P 〈 0.05 ） ;There was no significant difference between the 2 groups in total cost （ P 〉 0.05 ）. Conclusion Laparoscopic uterine resection and pelvic lymph node resection in the treatment of cervical cancer can reduce the surgical incision and amount of bleeding, shorten the postoperative exhaust time, postoperative hospitalization time, postoperative analgesia time, reduce intraoperative and postoperative complication rate without increase the cost of hospitalization, it is safe and effective.
出处
《实用癌症杂志》
2016年第9期1487-1489,共3页
The Practical Journal of Cancer
关键词
腹腔镜
广泛子宫切除和盆腔淋巴结切除术
宫颈癌
Laparoscopy
Extensive hysterectomy and pelvic lymph node excision
Cervical cancer
