子宫内膜癌术式的选择对预后影响的对比研究

The Comparative Study of Endometrial Cancer Surgical Options Prognostic Factors

目的:观察研究子宫内膜癌选择不同的术式治疗对患者预后情况的影响。方法:选取我院2012年3月-2014年3月收治的120例子宫内膜癌患者随机分为试验组60例和对照组60例,试验组给予腹腔镜手术治疗,对照组给予传统开腹手术治疗。结果:试验组术中的三项指标及术后各个方面的情况均明显优于对照组,差异显著(P<0.05);两组患者术后第2天的两种细胞数目有明显差异,有统计学意义(P<0.05);两组在清扫淋巴结数目、随访情况方面无差异性(P>0.05);试验组术后出现并发症较对照组明显减少(P<0.05)。结论:腹腔镜手术治疗子宫内膜癌具有多方面优点,比传统开腹手术安全、彻底、预后佳,值得临床推广应用。

Objective：To investigate the influence of endometrial cancer choose different surgical treatment prognosis of the patient .Methods：In our hospital from March 2012 to March 2014 were treated 120 cases of endometrial cancer were randomly divided into two groups ,60 cases in the experimental group and 60 cases in the control group ,the exper-imental group received laparoscopic surgery ,the control group received traditional open surgery treatment .Results：The experimental group of patients in the three indicators and various aspects of the surgery were significantly better than the control group ,the difference was significant （P〈0 .05）;there are significant differences in the number of cells after the second day of the two groups of patients ,statistically significance （P〈0 .05）;the experimental group and the con-trol group in the number of lymph nodes ,no difference in terms of the follow up （P〉0 .05）;postoperative complica-tions in the experimental group compared with the control group was significantly reduced （P〈0 .05） .Conclusion：Lap-aroscopic surgery for endometrial cancer has many advantages over traditional open surgery safe ,thorough ,the prog-nosis is good ,worthy of clinical application .