|
|
Effect comparison of laparoscopic extensive hysterectomy and traditional laparotomy in the treatment of cervical cancer |
LIU Yang1 GUO Duan-ying1 LI Shi-tong1 ZHANG Ping2 |
1.Department of Gynecology and Obstetrics,People′s Hospital of Longgang District in Shenzhen City,Guangdong Province,Shenzhen 518172,China;
2.Department of Gynecology and Obstetrics,Central Hospital of Longgang in Shenzhen City,Guangdong Province,Shenzhen 518170,China |
|
|
Abstract Objective To investigate and analyze the effect of laparoscopic extensive hysterectomy and traditional laparotomy on cervical cancer.Methods A total of 154 patients with cervical cancer treated in our hospital or Longgang Central Hospital from June 2015 to July 2017 were enrolled.They were randomly divided into two groups by a random number table with 77 cases in each group.In the control group,traditional laparotomy was used,while in the observation group,laparoscopic extensive hysterectomy was adopted.The therapeutic effect in the two groups was compared.Results The operation time,exhaust time and hospital stay in the observation group were shorter than those in the control group(P<0.05),amount of bleeding was lesser than those in the control group,the differences were statistically significant(P<0.05).The incidence in the observation group and the control group was 37.7%and 36.4%respectively without a significant difference(P>0.05).Conclusion Compared with the traditional laparotomy,laparoscopic extensive hysterectomy for cervical cancer can effectively shorten the operation time,reduce the amount of bleeding,speed up the recovery,and will not increase the postoperative complications.
|
|
|
|
|
[1] |
曲波,王海琳,吴红彦,等.参芪抑瘤方联合新辅助化疗治疗中晚期宫颈癌临床疗效分析[J].西部中医药,2017,30(8):1-4.
|
[2] |
陈晓梅,卢昆林.腹腔镜辅助下阴式广泛全子宫切除加盆腔淋巴结清扫术治疗宫颈癌的临床分析[J].临床军医杂志,2015,43(1):53-54.
|
[3] |
Kroft J,Li Q,Saskin R,et al.Trends over time in the use of laparoscopic hysterectomy for the treatment of endometrial cancer[J].Gynecol Oncol,2015,138(3):536-541.
|
[4] |
陈梅英,贝玲玲,陈晓琴.腹腔镜下子宫广泛性切除术治疗子宫颈癌的效果分析[J].实用癌症杂志,2016,5(1):142-144.
|
[5] |
夏欢,曹莉莉,蒋璐频,等.腹腔镜下保留盆腔自主神经的广泛性子宫切除术治疗早期宫颈癌的安全性及疗效的临床研究[J].实用妇产科杂志,2016,32(10):763-766.
|
[6] |
Liu S,Gu X,Zhu L,et al.Effects of propofol and sevoflurane on perioperative immune response in patients undergoing laparoscopic radical hysterectomy for cervical cancer[J].Medicine,2016,95(49):e5479-e5480.
|
[7] |
莫轶晖,杨丽丽.腹腔镜下广泛性子宫切除术和经腹广泛性子宫切除术治疗早期子宫颈癌的临床研究[J].中国性科学,2016,25(2):51-53.
|
[8] |
王卉,梁培琴.腹腔镜下完成宫颈癌保留神经平面广泛子宫切除术的疗效及可行性探讨[J].河北医学,2015,4(3):398-401.
|
[9] |
郭维纳,路思思,汪宏波,等.腹腔镜下保留一侧盆腔自主神经广泛性子宫切除术治疗早期宫颈癌对膀胱功能的影响[J].神经损伤与功能重建,2016,11(4):327-329.
|
[10] |
Yang L,Cai J,Dong W,et al.Laparoscopic radical hysterectomy and pelvic lymphadenectomy can be routinely used for treatment of early-stage cervical cancer:a single-institute experience with 404 patients[J].J Minima Invasive Gynecol,2015,22(2):199-205.
|
[11] |
谈宗国.腹腔镜广泛子宫切除联合盆腔淋巴结切除术治疗子宫颈癌的疗效分析[J].实用癌症杂志,2016,31(9):1487-1489.
|
[13] |
陈光元,黄平,谢家滨,等.腹腔镜广泛子宫切除联合盆腔淋巴结清扫术治疗宫颈癌疗效观察[J].海南医学,2016,27(6):932-934.
|
[15] |
于淼淼,杨露,张艳梅,等.腹腔镜子宫切除术对宫颈癌患者近期疗效及远期复发率的影响[J].现代生物医学进展,2016,16(20):3863-3865.
|
[12] |
Yuan H,Wang C,Wang D,et al.Comparison of the effect of laparoscopic supracervical and total hysterectomy for uterine fibroids on ovarian reserve by assessing serum anti-Mullerian hormone levels:a prospective cohort study[J].J Minima Invasive Gynecol,2015,22(4):637-641.
|
[14] |
Barletta F,Corrado G,Vizza E.A comparison between laparotomy,laparoscopy and robotic-assisted radical hysterectomy in surgical treatment of early stage cervical cancer[J].J Minima Invasive Gynecol, 2015,22(6S):S48-S56.
|
|
|
|