摘要
目的分析多孔腹腔镜根治术治疗宫颈癌的疗效及对患者负性情绪和预后的影响。方法将2022年1月至2022年12月期间河南科技大学第一附属医院新区医院宫颈癌患者(96例)设置为研究对象,按照随机单双数抽签法分组(抽到单数入对照组、抽到双数入研究组),各纳入48例,对照组行传统开腹手术治疗,研究组行多孔腹腔镜根治术治疗。比较两组手术指标、术后并发症发生情况、手术前后负性情绪评分[焦虑自评量表(SAS)、抑郁自评量表(SDS)],手术前后癌症患者生命质量测定量表(FACT-G)及患者预后情况。结果研究组术中出血量低于对照组,术后排气时间、住院时间均短于对照组,淋巴结清除数量多于对照组,差异均有统计学意义(P<0.05);研究组术后并发症发生率低于对照组,差异具有统计学意义(P<0.05);术后两组SDS、SAS评分较术前降低,且研究组分值低于对照组,差异均有统计学意义(P<0.05);术后两组FACT-G各维度评分较术前均上升,且研究组分值高于对照组,差异均有统计学意义(P<0.05);研究组48例样本术后10个月内无复发,对照组术后10个月内复发4例,复发率为8.33%,研究组复发率低于对照组,差异有统计学意义(P<0.05)。结论对比传统开腹手术,多孔腹腔镜根治术治疗宫颈癌的疗效与预后更为理想,同时可减少围术期负性情绪的滋生,值得应用。
Objective To analyze the efficacy of multi-port laparoscopic radical surgery in treating cervical cancer and its impact on patients’negative emotions and prognosis.Methods From January 2022 to December 2022,96 patients with cervical cancer in the New District Hospital of the First Affiliated Hospital of Henan University of Science and Technology were set as the research objects.They were divided into groups according to the random single and double number draw method(those who drew odd numbers entered the control group,and those who drew even numbers entered the research group),each with 48 cases.The control group underwent traditional open surgery,and the research group underwent multi-port laparoscopic radical surgery.The surgical indicators,postoperative complications,pre-and postoperative negative emotion scores[Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS)],pre-and postoperative cancer patient quality of life measurement scale(FACT-G),and patient prognosis were compared between the two groups.Results The intraoperative blood loss of the research group was lower than that of the control group,and the postoperative exhaust time and hospital stay were shorter than those of the control group.The number of lymph nodes cleared was more than that of the control group,and the differences were statistically significant(P<0.05).The incidence of postoperative complications in the research group was lower than that in the control group,and the difference was statistically significant(P<0.05).The postoperative SDS and SAS scores of the two groups were lower than before surgery,and the scores of the research group were lower than those of the control group,and the differences were statistically significant(P<0.05).The postoperative FACT-G scores of each dimension of the two groups were higher than before surgery,and the scores of the research group were higher than those of the control group,and the differences were statistically significant(P<0.05).There was no recurrence in the 48 samples of the res
作者
郭嘉薇
史小娟
石晓朵
GUO Jiawei;SHI Xiaojuan;SHI Xiaoduo(Department of Surgery,Henan University of Science and Technology First Affiliated Hospital New District Hospital,Luoyang Henan 471000,China)
出处
《临床研究》
2024年第6期100-103,共4页
Clinical Research
关键词
多孔腹腔镜根治术
宫颈癌
负性情绪
预后
Multi-Port laparoscopic radical surgery
cervical cancer
negative emotions
prognosis
