摘要
目的探讨腹腔镜子宫广泛性切除术治疗Ⅰ~Ⅱb期子宫颈癌患者临床疗效。方法采用随机数表法将本院2019年7月-2020年7月收治的138例Ⅰ~Ⅱb期子宫颈癌患者分为两组,对照组行开腹子宫广泛切除术治疗,观察组行腹腔镜子宫广泛切除术治疗,比较两组治疗后临床手术指标、膀胱功能、生存质量及预后。结果观察组手术时间、术后排气时间、下床活动时间和住院时间均明显短于对照组,观察组术中出血量少于对照组,淋巴结清除数量多于对照组(P<0.05)。观察组尿管保留时间短于对照组,膀胱功能障碍发生率、腹压排尿发生率、尿潴留发生率明显低于对照组,排尿满意率明显高于对照组(P<0.05)。与治疗前比较,两组治疗后6个月心理领域、生理领域、社会关系领域、环境领域各维度评分均有升高(P<0.05);观察组治疗后6个月后心理领域、生理领域、社会关系领域、环境领域各维度评分均明显高于对照组(P<0.05)。两组患者术后1年、2年生存率及无瘤生存率比较,无明显差异(P>0.05)。结论腹腔镜子宫广泛切除术治疗Ⅰ~Ⅱb期宫颈癌临床价值显著,有助于促进患者身体恢复,值得推广。
Objective To investigate clinical effect of laparoscopic hysterectomy in treatment of stage Ⅰ~Ⅱb cervical cancer.Methods The paper chose 138 patients with stage Ⅰ~Ⅱb cervical cancer in our hospital from July 2019 to July 2020,and divided them into two groups randomly.Control group was treated with open hysterectomy,and observation group with laparoscopic hysterectomy.Clinical operation indicators,bladder function,life quality and prognosis was compared between two groups.Results Operation time,exhaust time after operation,activity time out of bed and length of stay in observation group was significantly shorter than control group.Intraoperative bleeding amount in observation group was less than control group,number of lymph node clearance was more than control group(P<0.05).Retention time of urinary tube in observation group was shorter than control group,incidence of bladder dysfunction,abdominal pressure urination,and urinary retention was significantly lower than control group,satisfaction degree of urination was significantly higher than control group(P<0.05).Compared with before treatment,scores of psychological field,physiological field,social relationship field and environmental field in both groups increased 6 months after treatment(P<0.05);scores of psychological field,physiological field,social relationship field and environmental field in observation group were significantly higher than control group 6 months after treatment(P<0.05).There was no significant difference in 1-year,2-year survival rate and tumor free survival rate between two groups(P>0.05).Conclusion Laparoscopic hysterectomy can achieve significant clinical value for stage Ⅰ-Ⅱb cervical cancer,and promote recovery of patients,which is worthy of promotion.
作者
李媛
苗晓红
袁志英
LI Yuan;MIAO Xiaohong;YUAN Zhiying(Gynecology Department,Zunhua City People's Hospital,Tangshan,Hebei,064200)
出处
《智慧健康》
2022年第36期147-151,共5页
Smart Healthcare
关键词
腹腔镜
子宫广泛性切除术
宫颈癌
生存质量
膀胱功能
Laparoscope
Extensive hysterectomy
Cervical cancer
Life quality
Bladder function
