腹腔镜手术治疗宫颈癌患者术后生活质量分析

Postoperative quality of life of cervical cancer patients treated by laparoscopic surgery

摘要:

目的 腹腔镜手术治疗宫颈癌患者术后生活质量分析。方法 选择2009年5月－2010年9月在该院妇瘤科住院进行腹腔镜手术治疗的宫颈癌患者27例作为腹腔镜手术组，选择同期行开腹手术治疗的宫颈癌患者27例作为开腹手术组。腹腔镜手术组患者在腹腔镜下行广泛性子宫切除+盆腔淋巴结清扫术；开腹手术患者开腹行广泛性子宫切除+盆腔淋巴结清扫术。观察腹腔镜手术组和开腹手术组患者的临床资料、手术情况、术后复发和生存率情况以及术后癌症治疗功能总体评价量表（FACT-G）评分。结果 腹腔镜手术组宫颈癌患者的年龄、体质指数和开腹手术组宫颈癌患者比较，差异无统计学意义（P >0.05），腹腔镜手术组宫颈癌患者的出血量少于开腹手术组（P <0.05），腹腔镜手术组宫颈癌患者的术中淋巴结清扫个数多于开腹手术组（P < 0.05），腹腔镜手术组宫颈癌患者的排气时间和住院时间均少于开腹手术组（P <0.05），腹腔镜手术组宫颈癌患者的术后1、3和5年的复发率和生存率和开腹手术组比较差异无统计学意义（P >0.05）。腹腔镜手术组宫颈癌患者的术后1、3和5年的FACT-G评分高于开腹手术组（P <0.05）。结论 腹腔镜手术治疗宫颈癌可以减少出血量，缩短排气时间和住院时间，提高术后FACT-G评分，改善宫颈癌患者的术后生活质量。

Abstract:

Objectives To investigate the postoperative quality of life of cervical cancer patients treated by laparoscopic surgery. Methods 27 cases of cervical cancer treated by laparoscopic surgery from May 2009 to September 2010 as observation group, 27 cases of cervical cancer treated by laparotomy treatment in the same period as control group. Observe and analyzed the clinical data, operation, postoperative recurrence and survival rates and postoperative FACT-G score between the two groups. Results Age, body mass index has no statistical difference between the two groups (P > 0.05), the blood loss in observation group was less than that in control group (P < 0.05), the lymph node dissection number in observation group was more than that in control group (P < 0.05), the exhaust time and hospital stay in observation group were less than that in control group (P < 0.05), the 1-year, 3-year and 5-year recurrence rate and survival rate in observation group showed no significant difference compared with control group (P < 0.05). The 1-year, 3-year and 5-year FACT-G score in control group were higher than that in control group (P < 0.05). Conclusion Laparoscopic surgery for cervical cancer patients can reduce bleeding, shorten exhaust time and hospitalization time, improve postoperative FACT-G score and postoperative quality of life of cervical cancer patients.