老年患者腹腔镜子宫内膜癌分期手术的临床分析

Clinical analysis of laparoscopic staging of endometrial cancer for old patients

目的:探讨为老年子宫内膜癌患者行腹腔镜分期手术的安全性与可行性。方法:回顾分析2006年6月至2012年6月为64例患者行腹腔镜子宫内膜癌分期手术的临床资料,将其分为两组,大于或等于65岁的患者纳入研究组(n=32),小于65岁的患者纳入对照组(n=32)。对比分析两组患者手术时间、术中出血量、术中清扫淋巴结数量、术后排气时间、术后住院时间。结果:研究组患者年龄明显大于对照组(P<0.05),研究组合并糖尿病及高血压患者多于对照组(P<0.05),两组术中出血量、手术时间、术中清扫淋巴结数量、术后排气时间及住院时间差异均无统计学意义(P>0.05)。结论:老年子宫内膜癌患者行腹腔镜子宫内膜癌分期手术安全、可行,值得临床推广应用。

Objective： To investigate the safety and feasibility of laparoscopic staging of endometrial cancer for elderly patients. Methods：The clinical data of 64 patients with endometrial cancer who received laparoseopic staging surgery from Jun. 2006 to Jun. 2012 were retrospectively analyzed. 32 patients were aged 65 years or older （research group ） , and 32 patients were younger than 65 years （ control group）. The two groups were compared with surgical time, estimated intraoperative blood loss, number of harvested lymph node, recovery time of gastrointestinal function and postoperative hospital stay. Results： The patients of research group were significantly older than the control group （ P 〈 0.05 ）. The research group patients with diabetes and hypertension were more than control group （ P 〈 0.05 ）. There were no differences in surgical time, estimated blood loss, lymph node count, recovery time of gastrointestinal function and postoperative hospital stay between the two groups （ P 〉 O. 05 ）. Conclusions ： Laparoseopic staging of endometrial cancer is feasible and safe in the elderly population, and is worthy of clinical popularization.