早期子宫内膜癌应用开腹和阴式子宫全切术治疗的效果比较

Comparison of the treatment of early endometrial carcinoma with laparohy sterectomy and vaginal hysterectomy

目的 比较早期子宫内膜癌应用传统开腹术和阴式子宫全切术治疗的效果.方法 回顾性分析我院收治的80例早期子宫内膜癌患者的临床资料,根据手术方法分为A、B两组,其中A组（40例）应用传统开腹术治疗,B组（40例）应用阴式子宫全切术治疗,比较两组手术时间、术中出血量、术后肛门排气时间、住院时间和并发症发生率.结果 B组手术时间、术中出血量、术后肛门排气时间和住院时间明显优于A组（P＜0.05）.A组并发症发生率12.5%,显著高于B组的2.5%（P＜0.05）.B组无痛率60.0%,高于A组的30.0%（P＜0.05）.结论 早期子宫内膜癌应用阴式子宫全切术治疗效果优于传统开腹术,可降低并发症发生率,缓解疼痛,值得临床推广应用.

Objective To compare the clinical effect of traditional laparohysterectomy and vaginal hysterectomy on early endometrial carcinoma. Methods Retrospectively analyzed the clinical data of eighty cases of early endometrial carcinoma patients, and they were divided into group A and group B according to surgery methods, patients in group A （n=40） were treated with laparohysterectomy, while patients in group B （n=40） were treated with vaginal hysterectomy. The operation time, intraoperative bleeding, postoperative anal exhaust time, hospitalization time and complications of two groups were compared. Results The operative time, intraoperative bleeding, postoperative anal exhaust time, hospitalization time of group B were sig- nificantly better than those of the group A（P〈0.05）. The incidence of complications of group A was 12.5%, which was signifi- cantly higher than 2.5% of the group B （P〈0.05）. The incidence of aponia of group A was 60.00%, which was higher than 30.0% of group B （P〈0.05）. Conclusion Vaginal hysterectomy in treatment of early endometrial carcinoma has better efficiency than the laparohysterectomy, it can reduce the incidence of complications and relieve pain of patients, which is worthy of promotion.