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目的:探讨腹腔镜在宫颈癌根治术中的安全性和有效性。方法:回顾分析32例Ⅰa~Ⅱb期行腹腔镜下宫颈癌根治术的患者与同期32例开腹手术患者临床资料。结果:腹腔镜组与开腹组手术时间、术中出血量、术后肛门排气时间、下床活动时间、住院天数、术后伤口感染发生率等差异均有统计学意义(P<0.01或P<0.05),而清扫淋巴结数目差异无统计学意义(P>0.05)。结论:腹腔镜下宫颈癌根治术是安全可行的,且具有手术切口小、创伤小、术后恢复快等优点。
Objective: To investigate the safety and effectiveness of laparoscopy in the treatment of cervical cancer. Methods: The clinical data of 32 patients with laparoscopic radical mastectomy and 32 patients undergoing laparotomy at the same period were retrospectively analyzed. Results: There were significant differences in operation time, intraoperative blood loss, postoperative anal exhaust time, ambulation time, hospitalization days and the incidence of postoperative wound infection between laparoscopic group and open group (P <0.01 or P <0.05), while there was no significant difference in the number of lymph nodes dissected (P> 0.05). Conclusion: Laparoscopic radical cystectomy is safe and feasible, and has the advantages of small incision, less trauma and rapid postoperative recovery.