目的：比较分析腹腔镜下宫颈癌根治术和开腹手术对早期宫颈癌的临床治疗效果。方法82例早期宫颈癌手术治疗患者随机分为腹腔镜组(40例)和开腹组(42例)。腹腔镜组接受腹腔镜手术治疗，开腹组患者接受开腹手术治疗，对两组的手术情况进行对比分析。结果腹腔镜组出血量(112±13)ml、住院时间(14.7±2.3)d、排气时间(1.6±0.2)d、并发症发生率为5.0%均少于开腹组的(435±26)ml、(28.5±3.4)d、(3.4±0.5)d、21.4%，差异均具有统计学意义(P<0.05)。结论腹腔镜下宫颈癌根治术具有出血量少、住院时间短、排气时间短，术后并发症减少，瘢痕小，患者接受度高，值得临床中推广应用。%Objective To compare and analyze clinical effects by laparoscopic radical surgery of cervical cancer and laparotomy in the treatment of early cervical cancer. Methods A total of 82 patients receiving surgery for early cervical cancer were randomly divided into laparoscope group (40 cases) and laparotomy group (42 cases). The laparoscope group received laparoscopic surgery for treatment, and the laparotomy group received laparotomy. Comparative analysis was made on surgical condition in both groups. Results The laparoscope group had all fewer bleeding volume as (112±13) ml, hospital stay time as (14.7±2.3) d, exhaust time as (1.6±0.2) d and incidence of complications as 5.0%than (435±26) ml, (28.5±3.4) d, (3.4±0.5) d and 21.4%in the control group. Their differences all had statistical significance (P<0.05). Conclusion Laparoscopic radical surgery of cervical cancer contains advantages of low bleeding volume, short hospital stay and exhaust time, few postoperative complications, small scar and high acceptance. This method is worth clinical promotion and application.
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