CAJ | 학술논문

目的：比较腹腔镜根治性子宫切除术（LRH）与开腹根治性子宫切除术（RAH）治疗宫颈癌的疗效。方法回顾性分析2012年1月至2013年7月在该院行LRH的63例（腹腔镜组）宫颈癌患者的临床资料，选取同期行RAH的74例（开腹组）宫颈癌患者作为对照，观察两组手术时间、术中出血量、切除淋巴结数目、切除阴道长度、切除主骶韧带长度、术后切口愈合情况、尿潴留发生率等。结果两组手术时间比较，差异无统计学意义（P>0.05）；腹腔镜组术中出血量明显少于开腹组，差异有统计学意义（P<0.01）；腹腔镜组切除的阴道长度[（3.4±0.5）cm]大于开腹组[（3.2±0.4）cm]，差异有统计学意义（P<0.05）；两组术中切除的淋巴结数目，切除的主、骶韧带长度，术后尿潴留发生率比较，差异无统计学意义（P>0.05）。结论 LRH较RAH具有创伤小、手术安全性高、出血量少、手术彻底、术后恢复快等优点，对手术治疗宫颈癌有重要临床应用价值。
목적：비교복강경근치성자궁절제술（LRH）여개복근치성자궁절제술（RAH）치료궁경암적료효。방법회고성분석2012년1월지2013년7월재해원행LRH적63례（복강경조）궁경암환자적림상자료，선취동기행RAH적74례（개복조）궁경암환자작위대조，관찰량조수술시간、술중출혈량、절제림파결수목、절제음도장도、절제주저인대장도、술후절구유합정황、뇨저류발생솔등。결과량조수술시간비교，차이무통계학의의（P>0.05）；복강경조술중출혈량명현소우개복조，차이유통계학의의（P<0.01）；복강경조절제적음도장도[（3.4±0.5）cm]대우개복조[（3.2±0.4）cm]，차이유통계학의의（P<0.05）；량조술중절제적림파결수목，절제적주、저인대장도，술후뇨저류발생솔비교，차이무통계학의의（P>0.05）。결론 LRH교RAH구유창상소、수술안전성고、출혈량소、수술철저、술후회복쾌등우점，대수술치료궁경암유중요림상응용개치。
Objective To compare the efficacy of laparoscopic radical hysterectomy (LRH) and abdominal radical hys-terectomy(RAH) for the treatment of cervical cancer. Methods A retrospective analysis was conducted on the clinical data of 63 patients with cervical cancer,who were with LRH(LRH group) in the hospital from Januray 2012 to June 2013;simultaneous-ly,other 74 patients with cervical cancer,who were with RAH(RAH group),were selected as control group. To observe the opera-tive time,intra-operative blood volume,number of lymph nodes resected,vaginal resection length,cardinal ligament length,post-operative intertion status,urinary retention and so on. Results The operative time were not significantly different between the two groups(P>0.05).The intra-operative blood volume of the LRH group was significantly less than that of the RAH group (P<0.01). The vaginal resection length of the LRH group was(3.4±0.5)cm,which was longer than that of the RAH group[(3.2±0.4) cm] with statistically significant difference(P<0.05). The difference of the number of lymph nodes,the cardinal ligament length,the uterosacral ligament length,the incidence of postoperative urinary retention between the two groups was not statistically significance (P>0.05). Conclusion With the advantages of less trauma,security,less blood loss,quick postoperative recovery and so on,LRH has im-portant clinical value for the surgical treatment of cervical cancer.