腹腔镜与开腹手术治疗早期子宫内膜癌的临床回顾性分析.docVIP

精品论文 参考文献 腹腔镜与开腹手术治疗早期子宫内膜癌的临床回顾性分析 武汉市黄陂区人民医院妇产科 湖北武汉 430300 摘要：目的：探讨早期子宫内膜癌（EC）腹腔镜分期手术与传统开腹手术的临床疗效及应用价值。方法：我院收治256例早期EC手术患者，手术病理分期为IA--Ⅱ期。其中腹腔镜分期手术152例（腹腔镜组），开腹分期手术104例（开腹组），对比分析两组术中术后情况。结果：两组患者手术时间、术中清扫淋巴结数目及术后导尿管留置时间差异均无统计学意义（Pgt;0.05）；而腹腔镜组术中出血量、盆腹腔引流量、术后镇痛药物使用率、肛门排气时间、术后住院时间及术后并发症发生率均明显少于开腹组，差异有统计学意义（Plt;0.05）。结论：腹腔镜手术相较于开腹手术具有微创价值，是治疗早期EC有效、可行的术式。 关键词：子宫内膜癌；腹腔镜；开腹手术 Clinical retrospective analysis of laparoscopic and open surgery in the treatment of early endometrial cancer Xiong Zhifang （Department of Obstetrics and Gynecology，peoples Hospital of Huangpi District，Hubei，Wuhan，Wuhan 430300） [Abstract] Objective：To investigate the clinical effect and application value of early stage endometrial carcinoma（EC）laparoscopic staging operation and traditional open surgery.Methods：256 cases of early EC were treated in our hospital，and the pathologic stage was IA--.Laparoscopic staging surgery in 152 cases（laparoscopic group），104 cases of open surgery（open group），compared the two groups after the operation.Results：two groups of patients with operation time，intraoperative dissection lymph node number and operation after catheter indwelling time differences had no statistical significance（P gt; 0.05）；and laparoscopy group was the amount of bleeding，pelvic and abdominal cavity drainage volume，postoperative analgesic drug use rate，anal exhaust time，postoperative hospitalization time and postoperative complication rate was significantly less than that in the laparotomy group，the difference was statistically significant（P lt; 0.05）.Conclusion：laparoscopic surgery compared with open surgery with minimally invasive surgical treatment is the value of early EC is effective and feasible. [Key words] endometrial carcinoma；Laparoscopy；laparotomy 子宫内膜癌（EC）是原发于子宫内膜上皮细胞的恶性肿瘤，为女性生殖系统的三大恶性肿瘤之一，近年来，EC发病率在世界范围内呈明显上升趋势，严重威胁着妇女的身心健康。目前，对于EC特别是早期EC的最有效治疗方式为手术。与传统开腹手术相比，腹腔镜手术治疗妇科恶性肿瘤已逐渐成为一种趋势。为了探讨腹腔镜手术治疗早期EC的临床疗效及应用价值，2014年5月至2015年6月我们对早期EC患者进行了腹腔镜下分期手术与同期的开腹手术病例对照比较，现报道如下。