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阴式子宫全切术对Ⅰa期子宫内膜癌的治疗效果与经腹手术相近,其不足主要有无法充分暴露腹腔、无法行腹腔冲洗液细胞学检查、双附件切除难度较大及无法行淋巴结活检。腹腔镜辅助阴式子宫全切术(LAVH)可克服单纯阴式手术的这些局限,使住院时间及费用降低。对LAVH与经腹子宫全切术(TAH)用于Ⅰ期子宫内膜癌的治疗进行了比较。 320例早期子宫内膜癌行手术治疗,其中69例(22％)行LAVH,251例(78％)行TAH。比较两组患者的手术病理分期,Ⅰ期LAVH91％,TAH80％,病理分级1级LAVH83％,TAH63％。根据肿瘤分级及浸润深度决定是否行腹腔镜下淋巴结切除术。
Vaginal hysterectomy for stage Ⅰ a endometrial cancer treatment effect and abdominal surgery similar to its inadequacies mainly can not fully expose the abdominal cavity, can not be performed peritoneal lavage fluid cytology, double attachment resection more difficult and unable to lymph node Biopsy. Laparoscopic assisted vaginal hysterectomy (LAVH) can overcome these limitations of simple vaginal surgery, reducing hospital stays and costs. LAVH and abdominal hysterectomy (TAH) for the treatment of stage I endometrial cancer were compared. 320 cases of early endometrial cancer underwent surgical treatment, of which 69 cases (22%) underwent LAVH and 251 cases (78%) underwent TAH. The pathological staging of the two groups was compared. The first stage LAVH91%, the second stage TAH80%, the third stage LAVH83% and the third stage TA63%. According to the tumor grade and depth of invasion to determine whether laparoscopic lymph node dissection.