摘要
目的 对比分析腹腔镜宫颈癌根治术与开腹手术治疗早期宫颈癌的临床效果。方法 选取因宫颈癌行手术治疗的155例患者为研究对象。按手术方式分为腹腔镜组(90例)和开腹组(65例)。对比分析两组患者的术中情况(手术时间、术中出血量、清扫淋巴结数目)、短期预后(术后排气时间、无帮扶自由下床活动时间、术后疼痛评分、手术后相关并发症、术后住院时间)、长期预后(术后1、3年生存率)方面的差异。比较术后补充辅助治疗组和无补充辅助治疗组的生存结局。结果 腹腔镜组术中出血量、术后排气时间、无帮扶自由下床活动时间、术后住院时间、术后疼痛评分、术后相关并发症情况与开腹组比较,差异均有统计学意义(P<0.05)。腹腔镜组手术时间,淋巴结清扫数目,术后留置导尿管时间,术后1、3年生存率与开腹组相比,差异无统计学意义(P>0.05)。术后补充辅助治疗的腹腔镜组和开腹组死亡率比较,差异无统计学意义(P>0.05)。术后无补充辅助治疗的腹腔镜组和开腹组死亡率比较,差异无统计学意义(P>0.05)。结论 腹腔镜宫颈癌根治术治疗宫颈癌与开腹手术比较,可缩短手术时间、术后排气时间和术后住院时间,减少术中出血量,效果良好。腹腔镜手术仍是治疗宫颈癌手术的重要方式。
Objective To compare and analyze the laparoscopic radical resection of cervical cancer and the laparomy operation in the treatment of early cervical cancer.Methods One hundred and fifty-five patients undergoing surgical treatment for cervical cancer were selected as subjects.They are divided into two groups according to the way of operation,one group was laparoscopic group(90 cases),the oth-er group was laparotomy group(65 cases).The differences in intraoperative conditions(operative time,intraoperative blood loss,number of dissected lymph nodes),short-term prognosis(postoperative exhaust time,the time to get out of bed without assistance,postoperative pain score,postoperative complications after surgery,postoperative length of stay),and long-term prognosis(postoperative 1-year,3-year survival rate)were compared and analyzed.The survival outcomes of the postoperative supplemental therapy group and the non-supplemental therapy group were compared.Results Compared with the laparotomy group,the laparoscopic group had less blood loss during the operation,shorter postoperative exhaust time,shorter time to get out of bed without assistance,shorter hospital stays after surgery,lower postoperative pain scores,fewer associated complications after surgery,which has statistically significant difference(P<0.05).There was no significant dfference in the operation time,the number of lymph node dissection,indenture catheter placement and postoperative 1-year,3-year survival rate be-tween the two groups(P>0.05).There was no significant difference in the death rate in the laparoscopic and laparotomy groups with postoperative adjuvant therapy(P>0.05).There was no significant difference in the death rate between the laparoscopic and open groups without postoperative adjuvant therapy(P>0.05).Conclusions Compared with the laparotomy group,the laparoscopic radical resection of cervical cancer is helpful in reducing intraoperative blood loss,shortening the operation time,shortening postoperative exhaust time and postoperative length of
作者
张康丽
王新波
ZHANG Kang;WANG Xinbo(Department of Obstetrics and Gynecology,Shandong Second Medical University,Weifang 261053,China;Department of Obstetrics and Gynecology,Shouguang Maternal and Child Health Hospital;Department of Obstetrics and Gynecology,the Affiliated Hospital of Shandong Second Medical University)
出处
《潍坊医学院学报》
2024年第3期194-197,共4页
Acta Academiae Medicinae Weifang
关键词
宫颈肿瘤
腹腔镜手术
开腹手术
临床效果
Cervical cancer
Laparoscopic surgery
Laparotomy
Clinical Effect
