早期子宫内膜癌行腹腔镜治疗的临床效果分析

Clinical analysis of laparoscopic treatment for early endometrial cancer

目的:探讨早期子宫内膜癌患者接受腹腔镜手术治疗的临床效果。方法:选择本院于2018年4月至2019年4月收治的78例早期子宫内膜癌患者为研究对象,以随机双盲法为标准划分组别,其中对照组(39例患者)行传统开腹术,观察组(39例患者)行腹腔镜手术,比对两组患者的术中出血量、手术时间、术后排气时间、导尿管留置时间、首次下床活动时间、住院时间以及并发症发生率。结果:观察组的术中出血量低于对照组,手术时间以及术后排气时间、导尿管留置时间、首次下床活动时间、住院时间均短于对照组,相应数据对比分析,组间差异具备统计学意义(P<0.05);观察组的并发症发生率为7.69%,与对照组的25.64%进行比较,数据优势明显,即差异有统计学意义(P<0.05)。结论:以腹腔镜手术治疗早期子宫内膜癌,不仅创伤性小,利于患者早期康复,同时安全性较高,可以较少并发症,对于患者的预后发展有积极意义。

Objective:To investigate the clinical effects of laparoscopic surgery for patients with early endometrial cancer.Methods:78 patients with early endometrial cancer admitted to our hospital from April 2018 to April 2019 were enrolled in the study.The patients were randomly divided into two groups:the control group(39 patients).In the traditional open surgery,the observation group(39 patients)underwent laparoscopic surgery,comparing the intraoperative blood loss,operation time,postoperative exhaust time,catheter indwelling time,first time to get out of bed,hospitalization Time and the incidence of complications.Results:The intraoperative blood loss of the observation group was lower than that of the control group.The operation time,the postoperative exhaust time,the catheter indwelling time,the first time to get out of bed,and the hospital stay were shorter than the control group.The difference was statistically significant(P<0.05).The complication rate of the observation group was 7.69%,which was compared with the control group of 25.64%.The data had obvious advantages,that is,the difference was statistically significant(P<0.05).Conclusion:Laparoscopic surgery for early endometrial cancer is not only invasive,but also beneficial to early rehabilitation of patients,and it is safer and less complication,which has positive significance for the prognosis of patients.