论文部分内容阅读
目的探讨腹腔镜手术治疗早期子宫内膜癌的可行性及临床效果。方法回顾性分析130例早期子宫内膜癌患者的临床资料,分为A、B两组,分别行腹腔镜下手术和开腹手术,将两组患者手术情况及手术效果进行对比分析。结果 A组手术时间为(155.3±49.6)min;B组为(161.6±37.9)min,两组手术时间无统计学差异(P>0.05)。A组手术出血量(223.5±125.5)ml;B组出血量(437.5±392.4)ml,A组手术出血量明显少于B组(P<0.05)。A组淋巴结切除数目平均为(18.2±6.9)枚,B组为(17.3±8.4)枚,两组差异无统计学意义(P>0.05)。腹腔镜组的术后肛门排气时间明显短于开腹组(P<0.05)。留置导尿管时间,两组间差异无统计学意义(P>0.05)。A组术后住院时间明显短于B组(P<0.05)。所有患者术中均未出现明显并发症,B组有2例患者术后出现切口愈合不良,其余均恢复良好。结论腹腔镜手术治疗早期子宫内膜癌是安全可行的,该术式创伤小、术后康复快,近期效果好,但远期效果尚待进一步观察。
Objective To investigate the feasibility and clinical effect of laparoscopic surgery for early endometrial cancer. Methods Retrospective analysis of 130 cases of early endometrial cancer clinical data, divided into A, B two groups, respectively, laparoscopic surgery and laparotomy, the two groups of patients undergoing surgery and surgical effects were compared. Results The operation time in group A was (155.3 ± 49.6) min and in group B was (161.6 ± 37.9) min, there was no significant difference between two groups (P> 0.05). The blood loss in group A was (223.5 ± 125.5) ml; in group B, the amount of bleeding was (437.5 ± 392.4) ml. The amount of bleeding in group A was significantly less than that in group B (P <0.05). The average number of lymph node resections in group A was (18.2 ± 6.9) mm and in group B was (17.3 ± 8.4) mm, there was no significant difference between the two groups (P> 0.05). The time of anal exhaust in laparoscopic group was significantly shorter than that in open group (P <0.05). Catheter indwelling time, the difference between the two groups was not statistically significant (P> 0.05). The postoperative hospital stay in group A was significantly shorter than that in group B (P <0.05). No obvious complications occurred in all the patients during operation. Two patients in group B had poor incision healing after operation, and the others recovered well. Conclusions Laparoscopic surgery for early endometrial cancer is safe and feasible. The trauma is small, the postoperative recovery is fast, and the immediate effect is good. However, the long-term effect needs further observation.