首页|腹腔镜术中子宫悬吊对早期宫颈癌的疗效及其预后评估

腹腔镜术中子宫悬吊对早期宫颈癌的疗效及其预后评估

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目的 探讨腹腔镜术中子宫悬吊对早期宫颈癌的疗效及预后评估.方法 选取62例早期宫颈癌患者(均行广泛子宫切除术),并根据手术方式分为2组.其中研究组患者29例,采用腹腔镜手术治疗且术中行子宫悬吊,而对照组患者33例,则采用传统开腹手术治疗,比较2组患者的临床疗效.结果 研究组手术时间、术中出血量、术后排气时间及住院时间均优于对照组(P<0.05),而两组宫旁切除宽度及淋巴结清除数目比较无差异(P>0.05);研究组术后并发症发生率(6.9%)较对照组(27.2%)低(P<0.05);术前两组的炎性指标比较无差异(P>0.05),而术后两组的炎性指标均较术前升高,但对照组升高更为显著(P<0.05);术后一年两组复发率比较无差异(P>0.05).结论 腹腔镜广泛子宫切除术且术中悬吊子宫对早期宫颈癌的疗效更佳,不仅可减少术中出血等,同时还可降低术后不良反应发生率,并减轻术后炎性反应程度,最终改善患者预后,值得临床推广应用.
Evaluation of the Impact of Uterine Suspension in Laparoscopy on the Efficacy and Prognosis of Early Cervical Cancer
Objective To explore the efficacy and prognosis assessment of laparoscopic uterine suspension in the treat-ment of early cervical cancer.Methods 62 patients with early cervical cancer(undergoing extensive hysterectomy)were selected and divided into 2 groups according to the surgical method.Among them,29 patients in the study group underwent laparoscopic surgery with intraoperative uterine suspension,while 33 patients in the control group underwent traditional open surgery.The clini-cal efficacy of the 2 groups was compared.Results The operation time,intraoperative blood loss,postoperative flatus time,and length of hospital stay in the study group were all superior to those in the control group(P<0.05).However,there was no differ-ence in the width of parametrial resection and the number of lymph nodes removed between the 2 groups(P>0.05).The inci-dence of postoperative complications in the study group(6.9%)was lower than that in the control group(27.2%)(P<0.05).There was no difference in inflammatory indicators between the 2 groups before surgery(P>0.05),but the inflammatory indica-tors in both groups increased after surgery,with a more significant increase in the control group(P<0.05).There was no differ-ence in the recurrence rate between the 2 groups at one year after surgery(P>0.05).Conclusion Laparoscopic extensive hys-terectomy with intraoperative uterine suspension has better efficacy in the treatment of early cervical cancer.It can not only reduce intraoperative bleeding and adverse reactions but also lower the incidence of postoperative complications and alleviate the degree of postoperative inflammatory response,ultimately improving patient prognosis.It is worthy of clinical promotion and application.

LaparoscopyUterine suspensionEarly cervical cancerEfficacyInflammatory indicatorsPrognosis

张新、高雁荣、黄伟娟

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455000 河南省安阳市肿瘤医院

腹腔镜 子宫悬吊 早期宫颈癌 疗效 炎性指标 预后

河南省医学科技攻关计划项目

LHGJ20210878

2024

实用癌症杂志
江西省肿瘤医院 江西省肿瘤研究所

实用癌症杂志

影响因子:1.241
ISSN:1001-5930
年,卷(期):2024.39(10)