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目的分析腹腔镜与传统开腹广泛子宫切除及盆腔淋巴结清扫术治疗宫颈癌的临床资料,探讨其可行性、安全性及并发症。方法回顾性分析西安市第四医院2008年1月至2012年1月320例行腹腔镜与开腹广泛子宫切除及盆腔淋巴结清扫术治疗早期宫颈癌患者的临床资料,其中行腹腔镜150例,开腹170例。结果腹腔镜组手术时间[(182±52.3)min]、术中出血量[(377±91.9)m L]、胃肠功能恢复时间[(1.9±0.3)d]均少于开腹手术组[(220±69.5)min、(865±147.5)m L、(2.8±1.2)d](P<0.05);两组切除的淋巴结数差异无统计学意义(P>0.05);两组并发症发生率差异有统计学意义(P<0.05)。结论腹腔镜下广泛全子宫切除加盆腔淋巴结清扫术治疗早期宫颈癌临床效果肯定,与开腹手术治愈率相近,具有创伤小,恢复快,并发症发生率低等优势。
Objective To analyze the clinical data of laparoscopic and traditional wide-open radical hysterectomy and pelvic lymphadenectomy in the treatment of cervical cancer and to explore its feasibility, safety and complications. Methods A retrospective analysis of Xi’an Fourth Hospital from January 2008 to January 2012 320 cases of laparoscopic and laparotomy radical hysterectomy and pelvic lymph node dissection in the treatment of early cervical cancer in patients with clinical data, including laparoscopic 150 cases, Open in 170 cases. Results The laparoscopic operation time (182 ± 52.3) min, intraoperative blood loss (377 ± 91.9) m L, and gastrointestinal function recovery time (1.9 ± 0.3) d were less than those in the laparotomy group [ (220 ± 69.5) min, (865 ± 147.5) m L, (2.8 ± 1.2) d] (P <0.05). There was no significant difference in the number of lymph nodes removed between the two groups (P> 0.05) The difference was statistically significant (P <0.05). Conclusion The results of laparoscopic radical hysterectomy and pelvic lymphadenectomy for the treatment of early stage cervical cancer are affirmative, which are similar to those of laparotomy. It has the advantages of less trauma, faster recovery and lower complication rate.