摘要
目的分析早期子宫内膜癌患者应用腹腔镜手术治疗的临床效果。方法随机选择2019年5月—2022年4月在邳州市人民医院接受治疗的50例子宫内膜癌患者为研究对象,依据随机数表法分为对照组(25例,传统开腹手术治疗)和观察组(25例,腹腔镜手术治疗)。对比两组治疗效果、手术指标、预后指标、并发症发生率及远处转移、复发情况。结果比较治疗效果,对照组(80.00%)略高于观察组(76.00%),差异无统计学意义(χ^(2)=0.117,P>0.05)。两组术中淋巴结清扫数目比较,差异无统计学意义(P>0.05);观察组手术时间长于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05)。两组拔除引流管时间比较差异无统计学意义(P>0.05);观察组术后肛门排气、住院时间短于对照组,差异有统计学意义(P<0.05)。并发症发生率对比,观察组为20.00%,较对照组的48.00%更低,差异有统计学意义(χ^(2)=4.367,P<0.05);术后6个月两组远处转移率、复发率对比,差异无统计学意义(P>0.05)。结论开腹与腹腔镜手术在早期子宫内膜癌治疗中均具有显著疗效,其中开腹手术用时短,腹腔镜手术损伤小、安全性高,故在实际治疗中可结合患者实际情况选择适宜术式。
Objective To analyze the clinical efficacy of laparoscopic surgery for patients with early endometrial cancer.Methods Fifty patients with endometrial cancer treated in Pizhou People's Hospital from May 2019 to April 2022 were randomly selected as the study subjects.Based on the random number table method,they were divided into the control group(25 cases,treated by traditional open surgery)and the observation group(25 cases,treated by laparoscopic surgery).The treatment effect,surgical index,prognostic index,complication rate and distant metastasis and recurrence of the two groups were compared.Results Comparing the treatment results,the control group(80.00%)was slightly higher than the observation group(76.00%),the difference was not statistically significant(χ^(2)=0.117,P>0.05).There was no statistically significant difference in the number of intraoperative lymph node dissection between the two groups(P>0.05).The operating time in the observation group was longer than that in the control group,and the intraoperative bleeding was less than that in the control group,the difference was statistically significant(P<0.05).There was no statistically significant difference in the time of drainage tube removal between the two groups(P>0.05).The postoperative anal venting and hospital stay in the observation group were shorter than the control group,the those difference was statistically significant(P<0.05).Complication rate was 20.00%in the observation group compared with 48.00%in the control group,the difference was statistically significant(χ^(2)=4.367,P<0.05).There was no statistically significant difference in the comparison of distant metastasis rate and recurrence rate between the two groups at 6 months postoperatively(P>0.05).Conclusion Both open and laparoscopic surgery have significant efficacy in the treatment of early endometrial cancer,among which open surgery takes less time and laparoscopic surgery has less damage and higher safety.
作者
王志彬
WANG Zhibin(Department of Gynecology,Pizhou People's Hospital,Pizhou,Jiangsu Province,221300 China)
出处
《中外医疗》
2023年第11期113-116,121,共5页
China & Foreign Medical Treatment
关键词
腹腔镜
早期子宫内膜癌
开腹手术
并发症发生率
复发率
Laparoscopy
Early endometrial cancer
Open surgery
Complication rate
Recurrence rate
