腹腔镜子宫切除术对宫颈癌患者近期疗效及远期复发率的影响

目的:探讨腹腔镜根治性子宫切除术对宫颈癌患者近期疗效及远期复发率和生存率的影响。方法:选取2013年5月-2015年5月在我院接受手术切除治疗的宫颈癌患者71例为研究对象,根据手术方法不同将所选患者分为两组。腹腔镜组37例患者采用腹腔镜根治性子宫切除术,开腹手术组34例患者采用改良式根治性肿瘤切除术。观察并比较两组患者的手术时间、术中出血量、肿瘤切除长度、淋巴结清扫数、盆腔引流量、术后拔管时间等近期疗效,以及远期复发率及生存率。结果:与开腹手术组比较,腹腔镜组患者手术时间长、术中出血量少,差异具有统计学意义(P0.05);两组患者的肿瘤切除长度及淋巴结清除数比较,差异无统计学意义(P0.05);与开腹手术组比较,腹腔镜组患者的盆腔引流量较少,术后排气时间较早,差异具有统计学意义(P0.05);但两组患者术后拔管时间及住院时间比较,差异无统计学意义(P0.05);两组患者术后五年的复发率及生存率比较,差异无统计学意义(P0.05)。结论:腹腔镜根治性子宫切除术治疗宫颈癌的近期疗效显著,且不会影响患者的远期复发率及生存率。

Curative Effect and Long-termRecurrence and Survival Rate of Laparoscopic Radical Tumor Resection for Patients with Cervical Cancer

Objective:To explore the effect of laparoscopic radical resection on the short-term curative effect, recurrence rate and survival rate of patients with cervical cancer.Methods:71 patients with cervical cancer who were treated in our hospital from May 2013 to May 2015 were selected and according to the different treatment methods, the patients were divided into two groups. 37 cases in the laparoscopic group were treated with laparoscopic radical resection, and another 34 cases in the open surgery group were treated with the modified open surgery. Then the operation time, the blood loss, the tumor resection, the lymph nodes, the pelvic drainage and the postoperative extubation, and the long-term recurrence rate and survival rate in the two groups were observed and compared.Results:Compared with the open surgery group, the operation time in the laparoscopic group was longer, and the blood loss was less, and the difference was statistically significant (P<0.05); There was no statistically significant difference about the tumor resection and lymph node clearance between the two groups (P>0.05). Compared with the open surgery group, the pelvic drainage volume was less and the postoperative exhaust time was shorter of patients in the laparoscopic group, and the difference was statistically significant (P<0.05); There was no statistically significant difference about the postoperative extubation time and hospitalization between the two groups (P>0. 05); There was no statistically significant difference about the recurrence rate and survival rate of patients between the two groups (P>0. 05).Conclusion:Laparoscopic radical resection has significant short-term curative effect for patients with early cervical cancer, which could not affect the long-termrecurrence rate and survival rate.