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目的:探讨腹腔镜与开腹手术治疗Ⅰa-Ⅱb期期宫颈癌的不同疗效,并探讨合理的预后干预。方法:选择Ⅰa-Ⅱb期期宫颈癌患者48例,分别行腹腔镜下手术和开腹手术治疗,观察两组手术效果,探讨适合的术后干预思路。结果:治疗组术后排气时间早,住院时间短,并发症低,与对照组比较,差异有统计学意义。术后随访2年,均未发现复发和转移。结论:腹腔镜下子宫全切术配合合理的预后干预,能达到开腹手术治疗Ⅰa-Ⅱb期期宫颈癌手术的效果。
Objective: To investigate the different curative effects of laparoscopy and laparotomy on stage Ⅰa-Ⅱb cervical cancer and to explore the reasonable prognosis intervention. Methods: Forty-eight patients with stage Ⅰa-Ⅱb cervical cancer were selected for laparoscopic surgery and laparotomy respectively. The surgical effects were observed and the appropriate postoperative intervention was explored. Results: In the treatment group, the exhaust time was earlier, the hospitalization time was shorter, the complication was lower, and the difference was statistically significant compared with the control group. After 2 years of follow-up, no recurrence and metastasis were found. Conclusion: Laparoscopic hysterectomy with reasonable prognosis intervention can achieve the effect of laparotomy for stage Ⅰa-Ⅱb cervical cancer surgery.