论文部分内容阅读
目的探讨不同手术方式治疗宫颈癌的临床疗效。方法选取广州市南沙中心医院2010年6月至2011年6月收治的90例宫颈癌患者的临床资料,依据采用的不同手术方式分为A、B组,每组各45例。A组患者采取腹腔镜手术,B组患者采取开腹手术,观察两组的临床治疗效果。结果 A组手术时间[(145.7±12.7)min]、术中出血量[(225.3±34.6)m L]、肛门排气时间[(32.5±6.7)h]、下床活动时间[(1.7±0.3)d]、住院时间[(16.9±3.5)d]、术后并发症发生率(6.7%)均少于B组[分别为(213.6±21.8)min、(342.6±51.6)m L、(58.4±9.3)h、(2.7±0.4)d、(20.5±4.1)d、20.0%](P均<0.05)。A、B组复发率分别为4.4%、6.7%,差异无统计学意义(P>0.05)。结论腹腔镜手术治疗宫颈癌创伤小、手术时间短、术中出血量少,降低术后并发症,能较好的促进术后恢复。
Objective To investigate the clinical effects of different surgical methods in the treatment of cervical cancer. Methods The clinical data of 90 patients with cervical cancer admitted from June 2010 to June 2011 in Nansha Central Hospital of Guangzhou were collected and divided into A and B groups according to the different surgical methods. Each group included 45 cases. Group A patients underwent laparoscopic surgery, Group B patients underwent laparotomy and observed the clinical effect of the two groups. Results The operative time of group A was (145.7 ± 12.7) min, the amount of blood loss during operation was (225.3 ± 34.6) m L, the time of anus exhausting was (32.5 ± 6.7) h, the time of ambulation was (1.7 ± 0.3 ), hospital stay (16.9 ± 3.5) d and postoperative complications (6.7%) were less than those in group B (213.6 ± 21.8 min, 342.6 ± 51.6 m L, 58.4 ± ± 9.3) h, (2.7 ± 0.4) d, (20.5 ± 4.1) d, 20.0%] (all P <0.05). The recurrence rates in group A and group B were 4.4% and 6.7%, respectively, with no significant difference (P> 0.05). Conclusion Laparoscopic surgery for cervical cancer trauma, short operative time, less blood loss, reduce postoperative complications, can better promote postoperative recovery.