腹腔镜手术与经腹手术治疗早期子宫内膜癌的效果比较.DOCVIP

临床医学论文-腹腔镜手术与经腹手术治疗早期子宫内膜癌的效果比较 【摘要】? 目的通过对早期子宫内膜癌腹腔镜手术治疗与经腹手术治疗效果的比较，评价腹腔镜手术治疗的临床效果。方法对2006年6月—2007年10月60例子宫内膜癌患者应用腹腔镜手术治疗（A组），并与同期60例子宫内膜癌患者应用经腹手术治疗（B组）进行比较其手术时间，平均住院天数，术后放化疗，术后并发症，2、5年复发率和生存率的差别。结果两组患者的年龄、绝经状态、肿瘤分期和组织类型比较，差别均无统计学意义(P0.05)。两组患者术后放化疗、2、5年复发率和生存率比较，差别无统计学意义(P0.05)；A组手术时间短，住院天数少，术后并发症少 (P0.05)。结论在掌握手术指征的情况下，腹腔镜手术治疗子宫内膜癌具有良好的疗效。 【关键词】? 子宫肿瘤 经腹手术 腹腔镜手术 　　Clinical Observation of Laparoscopic Surgery for Early Endometrial Cancer 　　Abstract： Objective To compare laparoscopic surgery and laparotomy for early endometrial cancer and evaluate the clinical effect of laparoscopic surgical treatment.MethodsFrom June 2006 to October 2007, 60 cases of endometrial cancer treated by laparoscopy (Group A) were analyzed and another 60 cases of endometrial cancer treated by laparotomy (Group B) during the same period were randomly selected as controls. The two groups were compared for lasting time of operation, hospitalization, radiotherapy and chemotherapy, postoperative complications, relapse rate and survival rate. ResultsThere were not significant differences between the two groups in age, menopausal state, stage of tumor and type of tissue (P0.05). As a result, no significant differences were found berween the two groupes in radio- and chemotherapy, relapse rate and survival rate (P0.05). Group A had a shorter time of operation or hospitalization than Group B (P0.05). The incidence of complications was lower in Group A than in Group B. ConclusionLaparoscopic surgery is feasible and has a better treatment effect on early endometrial cancer. 　　Key? words： endometrial neoplasm; surgery; laparoscopy 　　子宫内膜癌传统的治疗方法是开腹手术，并在必要时辅以化疗、放疗或激素治疗。开腹手术对患者创伤大、恢复慢、影响生存质量。因此寻找一种既能较完美地完成手术治疗，降低并发症， 又能提高生存质量的方法是非常必要的。本研究将腹腔镜手术治疗与经腹手术进行比较，观察腹腔镜手术治疗的临床效果，为腹腔镜手术治疗子宫内膜癌提供依据。 　　1资料与方法 　　1.1一般资料 　　我院2006年6月—2007年10月收治的子宫内膜癌患者共120例，均无心、肺、肝、肾等实质性器官疾病， 且无其他合并症。随机分为两组。A组60例，平均年龄为(42.1±5.7) 岁， 绝经15例，内膜癌I 期35例、Ⅱ 期25例，子宫内膜高分化腺癌10例、中分化腺癌11例、低分化腺癌7例、高分化鳞癌17例、中分化鳞癌6例、低分化鳞癌1例、低分化腺鳞癌8例；B组60例，平均年龄为(43