腹腔镜下宫颈癌根治术与传统开腹手术的对比研究(1)
摘 要：目的 對比研究腹腔镜下宫颈癌根治术和传统开腹宫颈癌根治术的临床疗效、安全性、术后生活质量等。方法 选择湖南省肿瘤医院妇瘤科2014年5月～2016年12月因宫颈癌行手术的患者200例，根据手术方式分为两组，各100例。开腹组采用传统开腹手术，腹腔镜组采用腹腔镜下宫颈癌根治术治疗，对比两组患者的手术情况、并发症、术后恢复情况以及FACT-G评分。结果 腹腔镜组前50例手术时间为(280.0±32.5)min，长于开腹组的(190.0±23.2)min，差异具有统计学意义(P<0.05)，但腹腔镜组中按照时间顺序后50例手术时间为(200.0±22.6)min，与开腹组相比，差异无统计学意义(P>0.05)。腹腔镜组中出血量(125.3±48.2)ml，少于开腹组的(230.0±70.2)ml，统计学意义显著(P<0.01)。腹腔镜组中淋巴结清扫数目多于开腹组，差异具有统计学意义(P<0.05)。腹腔镜组术中损伤、切口愈合不良、淋巴囊肿发生率与开腹组比较，差异无统计学意义(P>0.05)。腹腔镜组尿潴留发生率为35.00%，高于开腹组的12.00%，差异具有统计学意义(P<0.05)。腹腔镜组术后48 h疼痛评分、肛门排气时间、术后住院日及术后FACT-G评分均优于开腹组，差异具有统计学意义(P<0.05)。结论 腹腔镜手术治疗宫颈癌疗效确切，具有创伤小、恢复快、术后生活质量高等优点。
, 百拇医药
关键词：腹腔镜；宫颈癌；开腹手术；并发症
中图分类号：R737.33 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.12.036
文章编号：1006-1959(2018)12-0115-03
Abstract：Objective To compare the clinical efficacy， safety and postoperative quality of laparoscopic radical resection of cervical cancer and conventional radical resection of cervical cancer.Methods A total of 200 patients with cervical cancer who underwent surgery from May 2014 to December 2016 in Hunan Provincial Cancer Hospital were divided into two groups，100 in each group.The open group was treated with conventional open surgery.The laparoscopic group was treated with laparoscopic radical resection of cervical cancer.The operation，intraoperative and postoperative complications，postoperative recovery and FACT-G score were compared between the two groups.Results The operative time of the first 50 patients in the laparoscopic group was(280.0±32.5)min，which was longer than that in the open group(190.0±23.2)min，the difference was statistically significant(P<0.05)，However，the operative time of 50 patients in the laparoscopic group was(200.0±22.6)min，which was not statistically significant compared with the open group(P>0.05). The amount of bleeding in the laparoscopic group was(125.3±48.2) ml，which was less than that in the open group(230.0±70.2)ml， which was statistically significant(P<0.01).The number of lymph node dissection in the laparoscopic group was higher than that in the open group，and the difference was statistically significant(P<0.05).There was no significant difference in laparoscopic surgery in terms of intraoperative injury，poor incision healing，and lymphatic cyst incidence compared with the open group(P>0.05).The incidence of urinary retention in the laparoscopic group was 35.00%，which was higher than that in the open group 12.00%，the difference was statistically significant(P<0.05).The 48 h pain score， the anus exhaust time，the postoperative hospitalization day and the postoperative FACT-G score of the laparoscopy group were all better than those in the open group，and the difference was statistically significant(P <0.05).Conclusion Laparoscopic surgery is effective in treating cervical cancer，with the advantages of less trauma，quicker recovery and higher quality of life after operation., 百拇医药(夏易曼娜 李虎成)
, 百拇医药
关键词：腹腔镜；宫颈癌；开腹手术；并发症
中图分类号：R737.33 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.12.036
文章编号：1006-1959(2018)12-0115-03
Abstract：Objective To compare the clinical efficacy， safety and postoperative quality of laparoscopic radical resection of cervical cancer and conventional radical resection of cervical cancer.Methods A total of 200 patients with cervical cancer who underwent surgery from May 2014 to December 2016 in Hunan Provincial Cancer Hospital were divided into two groups，100 in each group.The open group was treated with conventional open surgery.The laparoscopic group was treated with laparoscopic radical resection of cervical cancer.The operation，intraoperative and postoperative complications，postoperative recovery and FACT-G score were compared between the two groups.Results The operative time of the first 50 patients in the laparoscopic group was(280.0±32.5)min，which was longer than that in the open group(190.0±23.2)min，the difference was statistically significant(P<0.05)，However，the operative time of 50 patients in the laparoscopic group was(200.0±22.6)min，which was not statistically significant compared with the open group(P>0.05). The amount of bleeding in the laparoscopic group was(125.3±48.2) ml，which was less than that in the open group(230.0±70.2)ml， which was statistically significant(P<0.01).The number of lymph node dissection in the laparoscopic group was higher than that in the open group，and the difference was statistically significant(P<0.05).There was no significant difference in laparoscopic surgery in terms of intraoperative injury，poor incision healing，and lymphatic cyst incidence compared with the open group(P>0.05).The incidence of urinary retention in the laparoscopic group was 35.00%，which was higher than that in the open group 12.00%，the difference was statistically significant(P<0.05).The 48 h pain score， the anus exhaust time，the postoperative hospitalization day and the postoperative FACT-G score of the laparoscopy group were all better than those in the open group，and the difference was statistically significant(P <0.05).Conclusion Laparoscopic surgery is effective in treating cervical cancer，with the advantages of less trauma，quicker recovery and higher quality of life after operation., 百拇医药(夏易曼娜 李虎成)