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目的探讨腹腔镜手术在早期子宫颈癌患者中的临床应用效果。方法回顾性分析2012年6月至2015年12月收治的64例早期子宫颈癌患者的临床资料。将其随机分为两组,治疗组32例行腹腔镜手术,对照组32例行开腹手术。结果治疗组总有效率为90.63%,与对照组的78.13%比较差异未见统计学意义(P>0.05);治疗组术中出血量为(153.42±28.18)ml,肛门排气时间为(38.36±6.19)h,下床活动时间为(52.06±8.52)h,住院时间为(9.38±1.72)d,均优于对照组,差异均有统计学意义(P<0.05);治疗组尿潴留发生率、盆腔感染发生率、切口感染发生率均低于对照组,差异均有统计学意义(P<0.05)。结论腹腔镜手术在早期子宫颈癌患者中的临床应用效果显著,值得临床推广应用。
Objective To investigate the clinical effect of laparoscopic surgery in patients with early cervical cancer. Methods The clinical data of 64 patients with early stage cervical cancer admitted from June 2012 to December 2015 were analyzed retrospectively. They were randomly divided into two groups, 32 cases in the treatment group underwent laparoscopic surgery, 32 cases in the control group underwent laparotomy. Results The total effective rate in the treatment group was 90.63%, which was significantly lower than that in the control group (78.13%) (P> 0.05). The bleeding volume in the treatment group was (153.42 ± 28.18) ml and the anal exhaust time was (38.36 ± 6.19) h, the time of bed ambulation was (52.06 ± 8.52) h and the hospital stay was (9.38 ± 1.72) days, both of which were significantly better than the control group (P <0.05) Rate, the incidence of pelvic infection, incision infection were lower than the control group, the difference was statistically significant (P <0.05). Conclusion Laparoscopic surgery in early stage of cervical cancer patients with significant clinical effect, it is worthy of clinical application.