宫颈原位癌患者腹腔镜辅助下行阴式子宫全切除术的治疗探讨

摘要

Objective:To study the cervical carcinoma in situ patients laparoscopic assisted vaginal type total hysterectomy clinical characteristic,and at the same time with the traditional operation method contrast,provide a basis for clinical.Methods:108 cases selected were our cervical carcinoma in situ the need for hysterectomy patients,were randomly divided into observation group and control group in which the 54 cases,including observation group under laparoscopic assisted vaginal total hysterectomy group,line abdominal total resection of the uterus,compared two groups of patients during the operation,the operation time, amount of bleeding postoperative anal exhaust time,wound healing,hospital time waiting for follow-up situation.Results:Two groups of patients age,weight, and uterine size,previous abdominal surgeries and other basic differences between no obvious difference.The observation group operation time,amount of bleeding during is less than that of control group,the difference is statistically significant,the observation group postoperative exhaust time,length of hospital stay,resistance to infection time,refection time is shorter than the control group,the difference is statistically significant(P<0.05).Observation group complication rates and in situ carcinoma postoperative residual rate was low in control group obviously(P<0.05).Conclusion:Laparoscopic hysterectomy assisted with vaginal hysterectomy in the treatment cervical carcinoma in situ,postoperative rehabilitation fast,hospitalization time,clinical concrete operation process should pay attention to grasp the corresponding indications and reduce complications.%　　目的：研究宫颈原位癌患者腹腔镜辅助下行阴式子宫全切术临床特点与传统手术方式对比，为临床提供依据.方法：选择笔者所在医院收治的108例宫颈原位癌需要进行全子宫切除术患者，将所有患者随机分为观察组与对照组，各54例，其中观察组进行腹腔镜辅助下阴式子宫全切术，对照组行腹式子宫全切除术，对比两组患者术中手术时间、出血量、术后肛门排气时间、伤口愈合、住院时间等随诊情况.结果：两组患者年龄、体重、子宫体积、既往腹部手术史等比较差异无统计学意义(P>0.05).观察组手术时间、术中出血量明显少于对照组，差异有统计学意义(P<0.05)，观察组术后排气时间、住院时间、抗感染时间、恢复体力时间均短于对照组，差异有统计学意义(P<0.05).观察组并发症发生率及原位癌术后残留率较对照组明显低(P<0.05).结论：腹腔镜下阴式子宫全切除术治疗宫颈原位癌，术后康复快，住院时间短，临床具体操作过程中应当注意把握相应的适应证，减少并发症的发生.