目的:探讨腹腔镜与开腹子宫广泛性切除术治疗Ⅰa2～Ⅱb期子宫颈癌的安全性及远期肿瘤结局.方法:回顾分析子宫颈癌患者的临床资料,研究组(n=113)行腹腔镜子宫广泛性切除术,对照组(n=101)行开腹子宫广泛性切除术,记录两组患者术前、术中、术后相关情况及随访后的复发、生存情况.结果:研究组总有效率明显高于对照组,手术时间、手术出血量、术后排气时间、住院时间明显优于对照组,并发症发生率、复发率明显低于对照组,两组患者生存率差异无统计学意义.结论:腹腔镜子宫广泛性切除术患者创伤小,宫颈阴道旁的组织切缘距离肿瘤病灶的宽度大,术后康复快,并发症发生率低,手术安全性高,可作为临床治疗的优选方案.%Objective:To discuss the safety and long-term tumor outcomes of laparoscopic and abdominal radical hysterectomy in treating stage Ⅰa2-Ⅱ b cervical cancer.Methods:Clinical data of patients with cervical cancer were retrospectively analyzed.The research group included 113 cases of laparoscopic radical hysterectomy,while the control group included 101 cases of abdominal radical hysterectomy.These patients' preoperative,intraoperative and postoperative conditions as well as recurrence and survival after follow-up were recorded.Results:The total effective rate of the research group was obviously higher than that of the control group.The operative conditions such as duration of operation,blood loss during operation,the postoperative exhaust time and length of hospital stay in the research group were much better than those in the control group.The occurrence rates of complications and the recurrence rate of the research group were much lower than those of the control group.There was no significant difference in survival rate between the two groups.Conclusions:Total laparoscopic radical hysterectomy has the advantages of few trauma,large width between the incisal margin of paravaginal and paracervical tissues and tumor lesion,fast postoperative recovery,low incidence of complications and high safety.Therefore,it may be used as a preferred scheme for clinical treatment.
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