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目的:探讨腹腔镜手术治疗早期老年子宫内膜癌患者的临床疗效。方法:随机抽取2012年2月到2015年12月的老年子宫内膜癌患者120例,将所有患者随机分为观察组和对照组,每组60例,对照组采用传统手术治疗,观察组采用腹腔镜手术治疗,比较两组患者的手术时间、术中出血量、体温恢复时间、住院时间、术后并发症发生率以及随访期间复发、转移情况。结果:观察组的手术时间与术中出血量均少于对照组,差异具有统计学意义(P<0.05);观察组体温恢复时间、住院时间均少于对照组,差异具有统计学意义(P<0.05);观察组患者经过治疗后其术后并发症发生率仅为5.00%,对照组经过治疗后其术后并发症发生率为13.33%,两组比较,差异无统计学意义(P>0.05);两组患者随访期间复发、转移情况比较,差异无统计学意义(P>0.05)。结论:腹腔镜手术治疗早期老年子宫内膜癌患者的临床疗效显著,不仅手术时间短,患者的出血量较少,并且安全性较高。
Objective: To investigate the clinical effect of laparoscopic surgery for early senile endometrial cancer. Methods: A total of 120 elderly patients with endometrial cancer from February 2012 to December 2015 were randomly selected. All patients were randomly divided into observation group and control group, 60 cases in each group. The control group was treated by conventional surgery. The observation group was adopted Laparoscopic surgery was performed to compare the operation time, intraoperative blood loss, body temperature recovery time, hospital stay, postoperative complications and recurrence and metastasis during follow-up. Results: The operation time and intraoperative blood loss in the observation group were less than those in the control group, the difference was statistically significant (P <0.05); the body temperature recovery time and hospital stay in the observation group were less than those in the control group (P <0.05). The incidence of postoperative complications in the observation group was only 5.00% after treatment, and the incidence of postoperative complications in the control group was 13.33%. There was no significant difference between the two groups (P> 0.05). There was no significant difference in recurrence and metastasis between the two groups during follow-up (P> 0.05). Conclusion: Laparoscopic surgery for early elderly patients with endometrial cancer has a significant clinical effect, not only short operative time, patients with less bleeding, and higher safety.