腹腔镜应用于老年早期子宫内膜癌的安全性分析word论文.docxVIP

中英文缩略词对照表英文缩写英文全名中文译名ASAAmerican society ofanesthesiology美国麻醉学会ECEndometrialcarcinoma子宫内膜癌GOGGynecologic oncologygroup妇科肿瘤学组MMVMaximum minuteventilation最大通气量SLNBSentinel lymph nodebiopsy前哨淋巴结活检术目录摘要………………………………………………………………………………… 1ABSTRACT……………………………………………………………………… 2前言………………………………………………………………………………… 3内容与方法………………………………………………………………………… 4结果………………………………………………………………………………… 7讨论………………………………………………………………………………… 14小结………………………………………………………………………………… 22致谢………………………………………………………………………………… 23参考文献…………………………………………………………………………… 24综述………………………………………………………………………………… 29攻读硕士学位期间发表的学位论文……………………………………………… 39导师评阅表………………………………………………………………………… 40腹腔镜应用于老年早期子宫内膜癌的安全性研究研究生：冷霞导师：刘开江 教授/主任医师摘要目的：探讨腹腔镜手术治疗老年早期子宫内膜癌的安全性。方法：回顾性分析 2009 年 10 月到 2013 年 10 月间在新疆医科大学附属肿瘤医院妇外一科接受手术治疗的 233 例早期子宫内膜癌患者的临床资料，将 88 例老年腹腔镜手术患者分别与 57例老年开腹手术患者和 88 例非老年腹腔镜手术患者相比较，分析三组患者的术中指 标、手术并发症及术后恢复情况等指标。结果：三组均顺利完成手术，无中转开腹 及死亡病例。与老年开腹组相比，老年腹腔镜组术后排气时间、下床活动时间和术 后住院时间均较短，出血量较少，差异有统计学意义，淋巴结清扫数、手术时间、 手术并发症的差异无统计学意义；与非老年腹腔镜组相比，老年腹腔镜组术后住院 时间长，差异有统计学意义，其他各项指标差异均无统计学意义。结论：腹腔镜手 术治疗老年早期子宫内膜癌安全、可行。关键词：腹腔镜，早期子宫内膜癌，老年人，安全性1Safety of laparoscopic early endometrial cancer surg ery for elderly patientsPostgraduate:Leng XiaSupervisor: Prof.Liu Kai-jiangAbstractObjective：To evaluate the safety of laparoscopic surgery for early endometrial cancer patients aged over 65 years. Methods：A retrospective analysis of 233 cases ofearly endometrial cancer patients’ clinical data between October 2009 to October 2013 at Xinjiang medical university affiliated tumor hospital the first gynecology department. The 88 patients with laparoscopic surgery in elderly patients compared with the 57 cases of conventional open surgery and 88 patients who younger than aged 65 years performed with laparoscopic endometrial surgery. To compared the three groups of patients withintraoperative, complications and postoperative recovery. Results：The three groups weresuccessfully operated without deaths. Compared with the laparotomy group, the elderly laparoscopic group ha