腹腔镜手术与开腹手术治疗早期宫颈癌的临床效果观察

发布时间：2018-04-21 05:26

本文选题：腹腔镜手术 + 开腹手术　；参考：《中华肿瘤防治杂志》2016年S2期

【摘要】：目的探讨妇科肿瘤患者应用腹腔镜手术与开腹手术的临床效果,为临床治疗早期宫颈癌提供理论依据。方法选取2014-04-2016-01在医院接受治疗宫颈癌患者78例为研究对象,根据治疗顺序单双号分为对照组及试验组,每组39例。观察两组患者手术时间、术中出血量、淋巴清扫数、术后住院时间及术后并发症情况。结果两组患者采用不同手术方式后,试验组患者的手术时间(223.8±20.4)min稍长于对照组(188.1±11.6)min,差异有统计学意义(P0.05);但试验组术中出血量(181.6±9.4)mL及住院时间为(6.2±0.8)d以均优于对照组术中出血量为(251.9±12.7)mL、住院时间为(8.1±1.3)d,差异有统计学意义(P0.05);而两组患者在淋巴清扫数量上差异不大,对比差异无统计学意义(P0.05);两组患者在术后并发症方面差异无统计学(P0.05)。结论在早期宫颈癌治疗中腹腔镜手术治疗,能明显减轻患者疼痛程度,减少创伤面积,术后患者恢复较快,手术治疗效果明显,值得临床推广使用。
[Abstract]:Objective to investigate the clinical effect of laparoscopic and open surgery in gynecological tumor patients, and to provide theoretical basis for clinical treatment of early cervical cancer. Methods Seventy-eight patients with cervical cancer received treatment in hospital from 2014-04-2016-01 were selected. According to the treatment sequence, 78 patients were divided into control group and experimental group with 39 cases in each group. The time of operation, the amount of blood lost during operation, the number of lymphoid dissection, the postoperative hospitalization time and the postoperative complications were observed. Results after two groups of patients adopted different surgical methods, The operative time of the patients in the trial group was 223.8 卤20.4)min, slightly longer than that in the control group (188.1 卤11.6 min), the difference was statistically significant (P 0.05), but the intraoperative bleeding volume (181.6 卤9.4)mL) and the hospitalization time (6.2 卤0.8 days) in the trial group were significantly higher than those in the control group (251.9 卤12.7mL, 8.1 卤1.3mL, respectively). There was no significant difference in the number of lymphatic dissection between the two groups. There was no significant difference in postoperative complications between the two groups (P 0.05). Conclusion Laparoscopic surgery in the treatment of early cervical cancer can obviously reduce the pain degree, reduce the area of trauma, recover quickly after operation, and the effect of surgical treatment is obvious, which is worth popularizing in clinic.
【作者单位】：盘锦市中心医院妇产科妇产三科;
【分类号】：R737.33

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