摘要
目的观察分析宫颈锥形切除术与根治性宫颈切除术治疗早期宫颈癌的临床疗效对比。方法方便选取2017年6月—2019年1月收期间该院收治的156例早期宫颈癌患者作为该次分析对象,采取随机数字表法将其分为对照组78例和观察组78例,对照组患者采取宫颈锥形切除术,观察组患者采取根治性宫颈切除术,对比分析两组患者的治疗效果。结果对照组手术时间(175.69±15.51)min,术中出血量(278.69±22.36)mL,排气时间(38.56±4.65)d,住院时间(17.65±3.35)d,创面愈合时间(30.54±3.55)d;观察组手术时间(145.85±14.58)min,术中出血量(225.55±18.84)mL,排气时间(21.69±5.65)d,住院时间(11.25±2.98)d,创面愈合时间(23.64±3.47)d。经过治疗后,观察组患者手术时间、术中出血量、排气时间、住院时间、创面愈合时间与对照组比较,差异有统计学意义(t=12.380、16.051、20.361、12.607、12.276,P<0.05);观察组患者优良率为98.72%,对照组患者优良率为97.44%,观察组患者优良率与对照组比较,差异无统计学意义(χ^2=0.340,P>0.05)。结论采取根治性宫颈切除术治疗早期宫颈癌和宫颈锥形切除术疗效相当,但根治性宫颈切除术在手术时间、术中出血量、排气时间、出院时间、创面愈合时间上有明显的优势,同时还能保留患者的生育能力,值得在临床上推广及应用。
Objective To compare the clinical efficacy of cervical conization and radical cervical resection for early cervical cancer.Methods From June 2017 to January 2019,156 patients with early cervical cancer admitted to the hospital were convenient the most analyzed subjects.They were divided into 78 patients in the control group and 78 patients in the observation group by random number table method.Patients in the control group underwent cervical conization,and patients in the observation group underwent radical cervical resection.The therapeutic effects of the two groups and patients were compared.Results The operation time of the control group(175.69±15.51)min,intraoperative blood loss(278.69±22.36)mL,exhaust time(38.56±4.65)d,hospitalization time(17.65±3.35)d,wound healing time(30.54±3.55)d;observation group operation time(145.85±14.58)min,intraoperative blood loss(225.55±18.84)mL,exhaust time(21.69±5.65)d,hospitalization time(11.25±2.98)d,wound healing time(23.64±3.47)d.After treatment,the operation time,intraoperative blood loss,exhaust time,hospitalization time,and wound healing time of the observation group were compared with the control group,the difference was statistically significant(t=12.380,16.051,20.361,12.607,12.276,P<0.05).The excellent and good rate of the observation group was 98.72%,and the excellent rate of the control group was 97.44%.The excellent and good rate of the observation group was compared with the control group,and the difference was not statistically significant(χ^2=0.340,P>0.05).Conclusion Radical cervical resection for early cervical cancer and cervical conization is quite effective,but radical cervical resection has obvious advantages in operation time,intraoperative blood loss,exhaust time,discharge time,and wound healing time.At the same time,it can retain the patient's fertility and is worthy of clinical promotion and application.
作者
周娟
鲁花丽
ZHOU Juan;LU Hua-li(Department of Obstetrics and Gynecology,Haijiya Hospital,Shan County,Heze,Shandong Province,274300 China)
出处
《中外医疗》
2019年第30期41-43,共3页
China & Foreign Medical Treatment
