微创医学

目的比较腹腔镜手术与开腹手术治疗早期宫颈癌的临床疗效。方法选择腹腔镜下宫颈癌广泛子宫切除联合盆腔淋巴结清除术的35例患者为腹腔镜组，选择同期接受开腹手术的38例患者为开腹组。对两组患者的临床资料进行分析。结果腹腔镜组术中出血量少于开腹组，术后肛门排气时间和住院时间均短于开腹组，两组比较，差异有统计学意义（P＜0.05）；两组手术时间、淋巴结清除数、术后盆腔引流量比较，差异无统计学意义（P＞0.05）。结论腹腔镜下广泛子宫切除联合盆腔淋巴结清除术治疗早期宫颈癌具有创伤小、术中出血量少、术后恢复快等优点。

ObjectiveTo compare the effects of laparoscopic and open surgery in the treatment of early stage cervical cancer. MethodsThirty-five patients received laparoscopic hysterectomy combined with pelvic lymph node dissection were choose as laparoscope group; 38 patients received open surgery at the same period were selected as open surgery group. The clinical data of the two groups were analyzed. ResultsThe amount of bleeding in laparoscopic group was less than that of the open surgery group, the postoperative anal exhaust time and hospital stay were shorter than that of the open surgery group, the difference was statistically significant (P＜0.05);There was no significant difference in the operation time, the number of lymph nodes and the pelvic floor after operation between the two groups (P＞0.05). ConclusionLaparoscopic hysterectomy combined with pelvic lymph node dissection in the treatment of early stage of cervical cancer has the advantages of less trauma, less bleeding, faster postoperative recovery and so on.

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