摘要
目的探讨多孔腹腔镜根治术治疗宫颈癌的疗效及对患者负性情绪和预后的影响。方法将150例宫颈癌患者按手术方法的不同分为观察组75例和对照组75例,对照组采用传统开腹手术,观察组采用多孔腹腔镜根治术。比较两组患者围手术期指标及并发症发生情况;比较两组患者手术前后焦虑自评量表(SAS)、抑郁自评量表(SDS)、健康调查简表(SF-36)评分;随访至术后6个月,记录患者复发率及淋巴结转移、性功能障碍发生情况。结果观察组患者术中出血量少于对照组,术后排气时间、住院时间、尿管留置时间均短于对照组,并发症总发生率低于对照组,差异均有统计学意义(P﹤0.05)。术后,两组患者SAS、SDS评分均降低,且观察组患者SAS、SDS评分均低于对照组,差异均有统计学意义(P﹤0.05)。术后,两组患者SF-36各维度评分均升高,且观察组患者SF-36各维度评分均高于对照组,差异均有统计学意义(P﹤0.05)。两组患者淋巴结转移、性功能障碍发生率及复发率比较,差异均无统计学意义(P﹥0.05)。结论腹腔镜根治术在治疗宫颈癌中有显著优势,可有效切除病灶,加快患者术后肠道恢复速度,降低并发症发生率,改善患者负性情绪,提高生活质量。
Objective To investigate the efficacy of multiport laparoscopic radical resection in the treatment of cervical cancer and its impact on negative emotion and prognosis of patients.Method A total of 150 patients with cervical cancer were divided into observation group of 75 cases and control group of 75 cases according to different surgical methods.The control group was treated with traditional laparotomy,and the observation group was treated with multiport laparoscopic radical resection.The perioperative indicators and complications were compared between the two groups.The scores of the self-rating anxiety scale(SAS),self-rating depression scale(SDS),and the MOS 36-item short form health survey(SF-36)were compared between the two groups before and after the operation.The patients were followed up to 6 months after the operation,and the recurrence rate,lymph node metastasis,and sexual dysfunction were recorded during this period.Result The intraoperative blood loss in the observation group was less,the postoperative exhaust time,hospitalization time,and urinary catheter indwelling time were all shorter,and the total incidence of complications was lower than that in the control group,and the differences were statistically significant(P<0.05).After the operation,the SAS and SDS scores of the two groups were decreased,and the SAS and SDS scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).After the operation,the scores of SF-36 in the two groups were increased,and the scores of SF-36 in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).There were no significant differences in the incidence of lymph node metastasis,sexual dysfunction,and recurrence between the two groups(P>0.05).Conclusion Laparoscopic radical resection has remarkable advantages in the treatment of cervical cancer.The intervention could effectively remove lesions,speed up postoperative intestinal recovery,reduce the incidence of complications,improve patients’negative emotions,and improve their life quality.
作者
赵阳
张晓莲
王丹丹
ZHAO Yang;ZHANG Xiaolian;WANG Dandan(Department of Gynaecology,Dalian Municipal Women and Children’s Medical Center(Group),Dalian 116021,Liaoning,China)
出处
《癌症进展》
2022年第21期2237-2240,共4页
Oncology Progress
关键词
宫颈癌
负性情绪
多孔腹腔镜根治术
预后
疗效
cervical cancer
negative emotion
multiport laparoscopic radical resection
prognosis
efficacy
