中国医科大学学报

中国医科大学学报

中国医科大学学报 ›› 2016, Vol. 45 ›› Issue (3): 241–245.doi: 10.12007/j.issn.0258-4646.2016.03.013

• 论著 • 上一篇    下一篇

腹腔镜手术在早期子宫内膜癌治疗中的疗效观察

窦磊,郭科军   

  1. 中国医科大学附属第一医院妇科,沈阳110001
  • 收稿日期:2015-07-09 出版日期:2016-02-29 发布日期:2016-02-24
  • 通讯作者: 郭科军 E-mail:E-mail:Guokejuncmu@yahoo.com
  • 作者简介:窦磊(1984 -),男,主治医师,硕士.

Efficacy of Laparoscopic Surgery in Early Endometrial Cancer Therapy

DOU Lei,GUO Ke-jun   

  1. Department of Gynecology,The First Hospital,China Medical University,Shenyang110001,China
  • Received:2015-07-09 Online:2016-02-29 Published:2016-02-24

摘要: 目的 观察和探讨腹腔镜手术治疗早期子宫内膜癌的临床疗效。方法 回顾性分析我院 2011 年 1 月至 2015 年 1 月间75 例行腹腔镜手术治疗的早期子宫内膜癌患者(腹腔镜组)的临床资料,并与同期行开腹手术治疗的 90 例患者(开腹组)进行比较,所有患者术前均了解病情,自行选择手术方式并签署知情同意书。结果 腹腔镜组与开腹组比较,在手术时间、术中出血量、术后排气时间、并发症的发生率方面差异有统计学意义(P < 0.05);在盆腔淋巴结切除数量、腹主动脉旁淋巴结切除数量、复 发率、总生存率方面差异无统计学意义(P > 0.05)。结论 与开腹手术比较,腹腔镜手术治疗早期子宫内膜癌给患者带来的伤 害较小,术后恢复快,有利于提高生存质量,且能达到开腹手术恶性肿瘤根治切除及淋巴结清扫的效果,值得临床推广。

关键词: 早期子宫内膜癌, 腹腔镜手术

Abstract: Objective To observe and evaluate the clinical efficacy of laparoscopic surgery in the treatment of gynecological early endometrial cancer. Methods A retrospective analysis was performed,clinical data of 75 patients underwent laparoscopic surgery in our hospital between January 2011 to January 2015 were analyzed,and compared with 90 patients who received open surgery. All patients understand the disease on their own choice of surgical approach and signed informed consent before surgical operation. Results The differences of two groups in operative time,the incidence of blood loss,postoperative exhaust time,complications were statistically significant(P < 0.05);There was no significant differences in the pelvic lymph nodes cut the number of para-aortic lymph node dissection number,relapse rate,overall survival between the two groups(P > 0.05);Conclusion Compared to open surgery in the treatment of early endometrial cancer,laparoscopic surgery exhibits less damage,rapid postoperative recovery,which will help improve the quality of life,and can reach laparotomy malignant tumor resection and lymph node dissection effect,and is worthy of promotion.

Key words: early endometrial cancer, laparoscopic surgery

中图分类号: 

  • R737.33
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