腹腔镜手术治疗宫颈恶性肿瘤的临床探讨

马新，谢虹

张家港市第一人民医院妇产科，江苏张家港215600

[摘要]目的探析腹腔镜治疗宫颈恶性肿瘤的临床效果。方法整群选取该院2013年1月—2014年12月收治的92例早期宫颈恶性肿瘤患者，对其临床资料进行回顾性分析，并将其随机分为治疗组和对照组，各为46例，治疗组采取腹腔镜下广泛子宫切除+盆腔淋巴结清扫术，对照组采取经腹广泛子宫切除+淋巴结清扫术，对比两组手术情况及术后患者情况。结果治疗组患者的手术时间、术中出血量、术后体温恢复正常时间及淋巴结切除数目分别为（216.8±35.4）min、（332.5±120.4）mL、（4.4±2.1）d、（24.3±5.6）条，对照组患者的手术时间、术中出血量、术后体温恢复正常时间及淋巴结切除数目分别为（265.5±32.3）min、（496.5±136.7）mL、（7.6±3.2）d、（20.3±5.4）条，两组比较差异具有统计学意义（P＜0.05）；治疗组和对照组患者的膀胱恢复时间和术后并发症几率分别为（13.2±4.4）d、（14.3±3.6）d、2.17%、2.17%，比较差异无统计学意义（P＞0.05）。结论对于早期子宫恶性肿瘤患者采取腹腔镜治疗效果较好，安全有效，能够缩短患者的手术时间，减少对患者的创伤，应用前景较好，值得应用和推广。

[关键词]腹腔镜；宫颈恶性肿瘤；临床效果

[中图分类号]R737.33

[文献标识码]A

[文章编号]1674-0742（2015）10（a）－0095-03

[作者简介]马新（1976.11-），女，黑龙江人，本科，副主任医师，研究方向：妇科腔镜及肿瘤。

Abstract[]Objective To explore the clinical efficacy of laparoscopic surgery for vervical malignant tumors.Methods A retrospective analysis was done on the clinical date of 92 patients with vervical malignant tumors in early stage admitted to this hospital between January 2013 and December 2014.They were divided randomly into treatment group and control group with 46 in each one.The treatment group adopted laparoscopic extensive hysterectomy and pelvic lymphadenectomy, while the control group underwent abdominal extensive hysterectomy and pelvic lymphadenectomy.The indicators of the operation and postoperative conditions were compared between the two groups.Results The operative time, blood loss, time for body temperature recovery, and number of lymph node dissection were（216.8±35.4）min,（332.5±120.4）mL,（4.4±2.1）d,（24.3±5.6）respectively in the treatment group, while those in the control group were（265.5±32.3）min,（496.5±136.7）mL,（7.6±3.2）d,（20.3±5.4）respectively, and the differences between the two groups were statistically significant, P＜0.05.There were no statistically significant differences in recovery time of blodder function [（13.2±4.4）d vs 14.3±3.6）d]and postoperative complication rate (2.17% vs 2.17% ) between the two groups (P>0.05).Conclusion For patients with vervical malignant tumors in early stage, laparoscopic treatment can effectively shorten the operative duration and reduce the trauma, therefore it is worthy of application and promotion.

收稿日期：（2015-07-05）

谢虹（1964.9-），女，江苏人，本科，主任医师，研究方向：妇科腔镜及肿瘤。

Clinical Observation of Laparoscopic Surgery for Treatment of Cervical Malignant Tumors

MA Xin, XIE Hong

Department of Gynaecology and Obstetrics, Zhangjiagang First People's Hospital, Zhangjiagang, Jiangsu Province, 215600 China

[Key words]Laparoscopy; Cervical cancer; Clinical effect

目前，很多良性妇科肿瘤均可以在腹腔镜下进行手术治疗，随着腹腔镜技术的不断提高，医师经验的积累和器械的更新，致使腹腔镜的适应证越来越广泛，近年来，应用腹腔镜治疗恶性妇科肿瘤得到患者的青睐[1-2]。为……