腹腔镜分期手术治疗在子宫内膜癌患者中的应用效果

Application effect of laparoscopic staging surgery in patients with endometrial cancer

目的探讨腹腔镜分期手术治疗在子宫内膜癌患者中的应用效果。方法选取2017年8月~2019年1月我院收治的120例行子宫内膜癌分期手术患者作为研究对象,依据随机方式将其分为对照组(n=60)与试验组(n=60)。对照组施以开腹分期手术治疗,试验组施以腹腔镜分期手术治疗,对两组的手术时间、术中出血量、并发症发生情况、术后胃肠功能恢复时间、术后住院时间、排气时间、尿管拔除时间、淋巴结清扫总数情况、生存与死亡情况、复发情况、临床治疗效果进行观察。结果试验组的手术时间长于对照组,术后胃肠功能恢复、术后住院、排气、尿管拔除时间短于对照组,术中出血量少于对照组,淋巴结清扫总数多于对照组,并发症总发生率低于对照组,临床治疗总有效率高于对照组,差异均有统计学意义(P<0.05);但两组患者的生存率、死亡率、复发率比较,差异无统计学意义(P>0.05)。结论腹腔镜分期手术治疗在子宫内膜癌患者中的应用具有显著效果。

Objective To investigate the effect of laparoscopic staging surgery in patients with endometrial cancer.Methods A total of 120 patients undergoing endometrial cancer staging surgery treated in our hospital from August 2017 to January 2019 were taken as the research subjects,and were divided into the control group(n=60)and the experimental group(n=60)in random.The control group received laparotomy staging surgery,and the experimental group received laparoscopic staging surgery.The operation time,intraoperative blood loss,incidence of complications,postoperative gastrointestinal function recovery time,postoperative hospital stay,exhaust time,time of urinary catheter removal,total lymph node dissection,survival and death,recurrence,and clinical treatment effects were observed.Results The operation time in the experimental group was longer than that in the control group.The postoperative gastrointestinal function recovery time,postoperative hospital stay,exhaust time,and urinary catheter removal time were shorter than those in the control group.The intraoperative blood loss was less than that in the control group.The total number of dissection was more than that of the control group,and the total incidence of complications was lower than that of the control group.The total effective rate of clinical treatment was higher than that of the control group,the differences were statistically significant(P<0.05).There were no significant differences in the survival,death,and recurrence rates(P>0.05).Conclusion Laparoscopic staging surgery has a remarkable effect in patients with endometrial cancer.