腹腔镜手术治疗Ⅰ期子宫内膜癌的疗效分析

Clinical Analysis of Laparoscopic Surgery in Treatment of Stage Ⅰ Endometrial Carcinoma

目的:探讨腹腔镜手术治疗Ⅰ期子宫内膜癌患者的临床效果。方法:选取2012年1月-2013年1月本院收治的Ⅰ期子宫内膜癌患者66例。按照入院先后顺序将其分为观察组和对照组,各33例。观察组接受腹腔镜手术治疗,对照组接受开腹手术治疗。比较两组手术持续时间、术中出血量、淋巴结清扫数量、术后下床时间、盆腔引流量、导尿管留置时间、整体住院时间、并发症发生率、复发率及转移率。结果:两组手术持续时间、淋巴结清扫数量比较,差异均无统计学意义(P>0.05);观察组术中出血量、术后下床时间、盆腹腔引流量、导尿管留置时间、整体住院时间均优于对照组,比较差异均有统计学意义(P<0.05);观察组并发症发生率为9.09%,低于对照组的33.33%(P<0.05);两组复发率、转移率比较,差异均无统计学意义(P>0.05)。结论:通过为Ⅰ期子宫内膜癌患者提供腹腔镜手术治疗,可有效确保其临床治疗效果,减少并发症的发生率,其临床价值值得肯定。

Objective:To investigate the clinical effect of laparoscopic surgery for stageⅠendometrial carcinoma.Method:A total of 66 patients with stageⅠendometrial carcinoma who were treated in our hospital from January 2012 to January 2013 were selected.According to the order of admission,they were divided into observation group and control group,33 cases in each group.The observation group received laparoscopic surgery,while the control group received conventional laparotomy.The duration of operation,intraoperative bleeding,number of lymph node dissection,time of getting out of bed after operation,pelvic drainage,indwelling time of catheter,overall hospitalization time,incidence of complications,recurrence rate and metastasis rate between the two groups were compared.Result:The duration of operation and the number of lymph node dissection in two groups were compared,the differences were not statistically significant(P>0.05).The intraoperative bleeding,time of getting out of bed after operation,pelvic and abdominal drainage,indwelling time of catheter and overall hospitalization time in observation group were better than those of control group,the differences were statistically significant(P<0.05).The incidence of complications was 9.09%in observation group,which was lower than 33.33%in control group(P<0.05).The recurrence rate and metastasis rate in two groups were compared,the differences were not statistically significant(P>0.05).Conclusion:The laparoscopic surgery for stageⅠendometrial cancer patients can effectively ensure the clinical therapeutic effect and reduce the incidence of complications,the clinical value is worthy of affirmation.