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目的探讨腹腔镜下子宫颈癌根治术治疗早期宫颈癌的临床疗效。方法 63例患者分为腹腔镜组和开腹组,对比两组患者的手术时间、术中失血量、切除盆腔淋巴结数量和手术后并发症等情况。结果腹腔镜组手术时间明显长于开腹组(P<0.05),切除盆腔淋巴结数量明显多于开腹组(P<0.01),术中失血量显著少于开腹组(P<0.01);而并发症无显著性差异。结论腹腔镜手术治疗早期宫颈癌是有效、可行的,在设备和技术条件许可下,值得推广。
Objective To investigate the clinical efficacy of laparoscopic radical mastectomy for cervical cancer. Methods Sixty-three patients were divided into laparoscopic group and laparotomy group. The operation time, intraoperative blood loss, pelvic lymph node resection and postoperative complications were compared between the two groups. Results The operation time of laparoscopic group was significantly longer than that of open group (P <0.05). The number of pelvic lymphadenectomy was significantly more than that of open group (P <0.01). The blood loss during operation was significantly less than that of laparotomy group (P <0.01). No significant difference in complications. Conclusion Laparoscopic surgery for early cervical cancer is effective and feasible, and is worth popularizing under the permission of equipment and technical conditions.