腹腔镜下早期子宫内膜癌分期手术与开腹手术的效果对比

发布时间：2018-01-23 21:41

本文关键词： 腹腔镜早期子宫内膜癌分期手术开腹手术手术效果　出处：《临床医药文献电子杂志》2016年37期 　论文类型：期刊论文

【摘要】：目的分析腹腔镜下早期子宫内膜癌分期手术与开腹手术的效果。方法选择本院2014年9月~2015年8月收治的早期子宫内膜癌患者64例为研究对象,根据患者的实际手术方式分为甲组和乙组,各32例。甲组行开腹手术治疗,乙组行腹腔镜下分期手术治疗。对两组患者的手术指标进行观察对比。结果乙组手术出血量、引流量、术后排气时间、住院时间均优于甲组,差异有统计学意义(P0.05);甲组手术时间(248.3±37.5)min、淋巴结切除数量(19.6±5.2)枚,乙组手术时间(249.2±38.1)min、淋巴结切除数量(18.3±5.0)枚,差异无统计学意义(P0.05);乙组并发症发生率低于甲组,差异有统计学意义(P0.05)。结论腹腔镜下分期手术治疗早期子宫内膜癌的创伤小、恢复快,具有较高的应用价值。
[Abstract]:Objective to analyze the effect of laparoscopic staging and open surgery for early endometrial carcinoma. Methods 64 patients with early endometrial carcinoma were selected from September 2014 to August 2015. The patients were divided into two groups: group A (n = 32) and group B (n = 32). Two groups of patients were observed and compared. Results the volume of blood loss, drainage, postoperative exhaust time and hospital stay in group B were better than those in group A. The difference was statistically significant (P 0.05). The operative time was 248.3 卤37.5 minutes in group A, 19.6 卤5.2 in lymph node resection, and 249.2 卤38.1 minutes in group B. The number of lymphadenectomies was 18.3 卤5.0, with no significant difference (P 0.05). The incidence of complications in group B was lower than that in group A. the difference was statistically significant (P 0.05). Conclusion Laparoscopic staging surgery for early endometrial carcinoma has less trauma, faster recovery and higher application value.
【作者单位】：新疆喀什地区第一人民医院妇二科;
【分类号】：R737.33
【正文快照】： 子宫内膜癌在女性群体中的发病率较高,生殖道恶性肿瘤的20%~30%,随着社会环境的改变,该病的发生率呈现逐渐上升的趋势。传统的治疗方式是开腹手术后,配合放化疗防止肿瘤扩散,但是由于开腹手术可能需要将子宫及附件切除,对患者造成的伤害较大,患者术后的生存质量也相对较差[1]

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