宫颈癌腹腔镜根治术与开腹手术的临床疗效分析

摘要

目的 比较腹腔镜根治术与开腹手术治疗宫颈癌的临床效果.方法 回顾分析2010年3月至2012年9月我院妇科收治的28例腹腔镜宫颈癌根治术患者(腹腔镜组)的临床资料,并随机选取同期30例开腹手术(开腹组)作为对照组,对两组手术时间、术中出血量、淋巴结数量、肛门排气时间、住院时间、手术并发症发生率等进行比较.结果 腹腔镜组术中出血量、肛门排气时间,住院时间、手术并发症发生率均少于开腹组,腹腔镜组术后并发症发生率明显低于开腹组,差异有统计学意义(P＜0.05)；腹腔镜组手术时间长于开腹组；两组淋巴结切除数量相当,差异无统计学意义(P＞0.05).结论 腹腔镜宫颈癌根治术与开腹手术相比,具有创伤小、出血少、术后恢复快、住院时间短、并发症发生率低等优点,具有临床应用价值.%Objective To compare the clinical outcomes of laparoscopic and laparotomic radical hysterectomy in the treatment of cervical carcinoma.Methods The clinical data of 28 patients with cervical carcinoma undergoing laparoscopic radical hysterectomy in the Department of Gynaecology,Qinzhou First People's Hospital from Mar.2010 to Sep.2012 were collected and retrospectively analyzed (the laparoscopic group).In the meantime,30 patients undergoing laparotomic radical hysterectomy were randomly collected and enrolled the controls (the laparotomic group).The operation time,intraoperative bleeding,lymph node number,anal exhaust time,length of hospital stay and prevalence of operation complications in the two groups were compared and analyzed.Results Intraoperative bleeding,anal exhaust time,length of hospital stay and prevalence of operation complications in the laparoscopic group were less than that of the laparotomic group.Prevalence of the postoperative complications in the laparoscopic group was significantly less than that of the laparotomic group,and there were statistical differences between the two groups (P＜0.05).The operation time in the laparoscopic group was longer than that of the laparotomic group.There were comparable numbers of lymph nodes removed in these two groups,and there was no statistically significant difference (P＞0.05).Conclusion Compared with laparotomic radical hysterectomy,laparoscopic radical hysterectomy results in smaller wound,less blood loss,faster recovery,shorter length of hospital stay,and lower prevalence of complication.Therefore,the laparoscopic radical hysterectomy has higher clinical application value.