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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(P<0.05);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(P<0.05);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(P>0.05);两组患者在术后并发症方面差异无统计学(P>0.05)。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。
Objective To investigate the clinical effects of laparoscopic surgery and laparotomy in gynecologic oncology patients and provide a theoretical basis for clinical treatment of early cervical cancer. METHODS: A total of 78 patients with cervical cancer treated in hospital from April 2014 to May 2016 were selected as study subjects. According to the order of treatment, single and double numbers were divided into control group and experimental group, with 39 cases in each group. The operation time, intraoperative blood loss, lymphadenectomy, postoperative hospital stay and postoperative complications were observed. Results The operation time (223.8 ± 20.4) min in the experimental group was slightly longer than that in the control group (188.1 ± 11.6) min after the operation of two groups were performed by different surgical methods, the difference was statistically significant (P <0.05) (181.6 ± 9.4) mL and hospital stay (6.2 ± 0.8) d were superior to the control group (251.9 ± 12.7 mL) and hospital stay (8.1 ± 1.3) d, respectively, with significant difference (P <0.05). There was no significant difference in lymphadenectasis between the two groups (P> 0.05). 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 significantly reduce the degree of pain and reduce the area of trauma. The postoperative patients recover quickly and the curative effect is obvious. It is worth to be used clinically.