摘要
目的比较腹腔镜与开腹手术治疗早期子宫内膜癌的临床价值。方法回顾性分析我院2011年6月～2012年8月74例早期子宫内膜癌病例,其中腹腔镜组24例,开腹手术组50例,对比分析两组临床效果。结果两组中年龄、绝经情况、体重指数、FIGO分期、清扫淋巴结数、术后体温、术后排气时间、留置尿管时间、术后并发症方面无统计学差异;手术时间、术中出血、抗生素使用时间、术后住院时间方面有统计学差异。结论腹腔镜治疗早期子宫内膜癌疗效肯定,安全可行,优势在于出血量少、住院时间短、使用抗生素时间短。随着患者对生活质量要求的提高、经济发展对医疗卫生投入的增多、器械设备的改进,腹腔镜手术有望替代开腹手术,成为所有早期子宫内膜癌患者的手术方式。
Objective To compare the clinical value of laparoscopic with laparotomic surgery in treatment of early endometrial cancer.Methods Seventy-four patients with early stage endometrial cancer from June.2011 to Aug.2012 treated by our hospital were retrospectively analyzed.Results There is no statistical difference in age,menopausal condition,BMI,FIGO stage,number of lymph node,postoperative tempareture,the intestinal recoveray time,time of using catheter,and postoperative complications between two groups.There is statistical difference in operating time,blood loss,time of using antibiotics,postoperative hospital stay between two groups.Conclusions Laparoscopic surgery as a preferred choice for early endometrial carcinoma is safe and feasible due to its lower blood loss,shorter postoperative hospital stay and shorter time of using antibiotics.With improvement of quality of life,economic development of medical and health investment increased,equipment improvement,laparoscopic operation is expected to replace open operation for all patients with early endometrial cancer.
出处
《现代诊断与治疗》
CAS
2013年第6期1209-1211,共3页
Modern Diagnosis and Treatment
关键词
早期子宫内膜癌
腹腔镜
开腹手术
Early stage endometrial cancer
Laparoscopic
Laparotomic
