腹腔镜手术与开腹手术治疗早期子宫内膜癌对比研究

发布时间：2018-05-10 13:59

本文选题：子宫内膜癌 + 腹腔镜手术　；参考：《中国实用妇科与产科杂志》2015年11期

【摘要】：目的探讨腹腔镜手术治疗早期子宫内膜癌的可行性、安全性及近远期疗效。方法回顾性分析中山大学附属第一医院2006年7月至2015年6月209例确诊为早期子宫内膜癌并以腹腔镜治疗的患者为研究对象(腹腔镜组),以同期403例开腹手术治疗的早期子宫内膜癌病例为对照组,两组在手术时间、术中出血量、淋巴结清扫个数、术后排气时间、住院时间及并发症等各方面指标进行比较。结果腹腔镜组术中手术时间(114.7±29.2)min短于开腹组(211.0±45.3)min(P0.05),腹腔镜组出血量(180.6±98.2)mL明显少于开腹组(323.1±167.8)mL(P0.05);与开腹组比较,腹腔镜组术后肛门排气时间和住院时间明显缩短(P0.05)。两组盆腔及腹主动脉淋巴结切除数目、术中及术后并发症及总体生存率上差异无统计学意义(P0.05)。结论子宫内膜癌腹腔镜手术较开腹手术具有出血少、恢复快等优势,其安全可行,可作为早期子宫内膜癌手术选择。
[Abstract]:Objective to investigate the feasibility, safety and long-term efficacy of laparoscopic surgery in the treatment of early endometrial carcinoma. Methods from July 2006 to June 2015, 209 patients with early endometrial carcinoma and treated by laparoscopy were retrospectively analyzed in the first affiliated Hospital of Sun Yat-sen University (Laparoscopic group, 403 patients undergoing open surgery during the same period). The early stage endometrial carcinoma cases in the control group, The operative time, intraoperative bleeding volume, lymph node dissection, postoperative exhaust time, hospital stay and complications were compared between the two groups. Results the operative time of laparoscopic group was 114.7 卤29.2)min shorter than that of laparotomy group (211.0 卤45.3 min, P 0.05), and the amount of bleeding in laparoscopy group was 180.6 卤98.2)mL less than that in laparotomy group (323.1 卤167.8 mLL P0.05), compared with that in laparotomy group, the time of anus exhaust and hospital stay in laparoscope group was significantly shorter than that in laparotomy group. There was no significant difference in the number of pelvic and abdominal aortic lymphadenectomy, intraoperative and postoperative complications and overall survival rate between the two groups (P 0.05). Conclusion Laparoscopic surgery for endometrial carcinoma has the advantages of less bleeding and faster recovery. It is safe and feasible and can be used as a choice for early endometrial carcinoma surgery.
【作者单位】：中山大学附属第一医院妇科;
【基金】：中山大学5010计划基金(2007010)
【分类号】：R737.33

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