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目的探讨开腹手术与腹腔镜下行宫颈癌根治术的临床疗效。方法选取2010年6月至2015年7月于盘锦市中心医院妇产分院行手术治疗的97例宫颈癌患者作为研究对象,按照手术方法不同将其分为腹腔镜手术组(43例)和开腹手术组(54例)。两组患者分别应用相应手术方式进行治疗,比较两组患者手术时间、术中出血量、术后排气时间、住院时间、淋巴结切除数目及术后并发症发生情况。结果腹腔镜组患者术中出血量明显少于开腹组,术后排气时间、住院时间均明显短于开腹组,手术时间明显长于开腹组,差异均有统计学意义(均P<0.05);腹腔镜组患者术后并发症发生率明显低于开腹组,差异有统计学意义(χ2=4.53,P<0.05)。结论腹腔镜下行宫颈癌根治术安全可靠,且术中出血少,术后患者恢复快。
Objective To investigate the clinical effects of laparoscopic radical hysterectomy and laparoscopic radical hysterectomy for cervical cancer. Methods A total of 97 patients with cervical cancer undergoing surgical treatment at the Central Hospital of Panjin Central Hospital from June 2010 to July 2015 were selected as study subjects and divided into laparoscopic group (43 cases) and open group Abdominal surgery group (54 cases). The two groups of patients were treated with corresponding surgical methods. The operation time, intraoperative blood loss, postoperative exhaust time, hospital stay, number of lymph node resections and postoperative complications were compared between the two groups. Results The amount of bleeding during operation in laparoscopic group was significantly less than that in laparotomy group. The postoperative exhaust time and hospitalization time were significantly shorter than those in laparotomy group. The operation time was significantly longer than that in laparotomy group (all P < 0.05). The incidence of postoperative complications in laparoscopic group was significantly lower than that in open group (χ2 = 4.53, P <0.05). Conclusions Laparoscopic radical gastrectomy for cervical cancer is safe and reliable, with less intraoperative bleeding and faster postoperative recovery.