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

腹腔镜手术与经腹手术治疗早期子宫内膜癌的效果比较 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：腹腔镜手术与经腹手术治疗早期子宫内膜癌的效果比较 1 1资料与方法 2 31腹腔镜用于早期子宫内膜癌 治疗 的可行性 4 文2：腹腔镜手术与开腹手术治疗异位妊娠的比较 5 1临床资料 5 参考文摘引言： 7 原创性声明（模板） 8 文章致谢（模板） 9 正文 腹腔镜手术与经腹手术治疗早期子宫内膜癌的效果比较 文1：腹腔镜手术与经腹手术治疗早期子宫内膜癌的效果比较 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 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 complicatio, 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 (P). As a result, no significant differences were found berween the two groupes in radio- and chemotherapy, relapse rate and survival rate (P). Group A had a shorter time of operation or hospitalization than Group B (P). The incidence of complicatio 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 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(±) 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(±) 岁， 绝经13例，内膜癌I 期37例、Ⅱ期 23例，子宫内膜高分化腺癌12例、中分化腺癌11例、低分化腺癌6例、高分化鳞癌15例、中分化鳞癌4例、低分化鳞癌3例、低分化腺鳞癌9例。 手术方法 A组：待全身麻醉成功后， 取头低脚高截石位，置入尿管、举宫器，插入气腹针形成人工气腹。 然后在腹腔镜监视下于脐部进第1套管