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目的研究腹腔镜根治性子宫切除术治疗老年早期宫颈癌的疗效。方法将2011年8月-2013年12月期间我院收治的早期宫颈癌老年患者120纳入研究对象,根据手术方法不同分为给予腹腔镜下根治性子宫切除术的观察组和给予开腹手术的对照组,比较两组患者的手术情况和免疫功能恢复情况。结果观察组患者的术中出血量(46.2±6.3)ml、术后引流量(19.1±2.2)ml少于对照组,术后肛门排气时间、卧床时间以及住院总时间、(1.7±0.3、2.8±0.7、6.8±0.9)d均短于对照组,IgG、IgM、IgA水平(13.4±2.1、2.7±0.4、1.4±0.2)g/L高于对照组。结论腹腔镜根治性子宫切除术有助于减小手术创伤、促进术后恢复、改善免疫功能,是治疗老年早期宫颈癌的理想方法。
Objective To study the effect of laparoscopic radical hysterectomy in the treatment of elderly patients with early stage cervical cancer. Methods A total of 120 elderly patients with early stage cervical cancer admitted to our hospital from August 2011 to December 2013 were enrolled in the study. According to the different surgical methods, they were divided into observation group undergoing laparoscopic radical hysterectomy and laparotomy The control group, the two groups of patients were compared with the surgery and immune function recovery. Results The amount of blood loss (46.2 ± 6.3) ml and postoperative drainage volume (19.1 ± 2.2) ml in the observation group were less than those in the control group. The postoperative anal exhaust time, bed rest time and total hospital stay time were (1.7 ± 0.3, 2.8 ± 0.7,6.8 ± 0.9) d were shorter than that of the control group. The levels of IgG, IgM and IgA were higher than those of the control group (13.4 ± 2.1,2.7 ± 0.4,1.4 ± 0.2) g / L. Conclusions Laparoscopic radical hysterectomy is helpful to reduce surgical trauma, promote postoperative recovery and improve immune function. It is an ideal method for the treatment of early stage cervical cancer in the elderly.