腹腔镜辅助阴式与开腹手术治疗早期子宫内膜癌的疗效比较  

Comparative analysis of the clinical efficacy of laparoscopic-assisted vaginal and laparotomy in the treatment of early endometrial cancer

作　　者：杨越红[1] 潘敏[1] 林建[1] 陈雪梅[1] 

机构地区：[1]茂名市人民医院妇产科,广东省茂名525000

出　　处：《中国基层医药》2012年第14期2094-2095,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的比较腹腔镜辅助阴式与开腹手术治疗早期子宫内膜癌的临床疗效。方法回顾性分析180例早期子宫内膜癌患者的临床资料，随机分为两组，开腹组行常规开腹子宫切除术及盆腔淋巴结清扫术，腹腔镜组行腹腔镜辅助阴式子宫切除术及盆腔淋巴结清扫术，比较两组手术时间、术中出血量、肛门排气时间、住院时间、清扫淋巴结数量、并发症情况。结果两组手术时间、术中出血量、清扫淋巴结数量比较差异均无统计学意义（均P〉0．05），腹腔镜组肛门排气时间及住院时间短于开腹组（t=2．898、2．564，均P〈0．05）。两组并发症发生率（11．0％与19．1％）差异无统计学意义（P〉0．05）。随访时间为3～27个月，两组复发率（6．6％与5．6％）及生存率（98．9％与97．8％）差异均无统计学意义（均P〉0．05）。结论腹腔镜辅助阴式手术治疗早期子宫内膜癌的临床疗效优于开腹手术，具有微创、恢复快等优点，在早期子宫内膜癌治疗中有重要价值。Objective To compared the clinical efficacy of laparoscopic-assisted vaginal and laparotomy in the treatment of early endometrial cancer. Methods Clinical data of 180 patients with endometrial cancer were analyzed retrospectively,which were randomly divided into two groups：The laparotomy group were underwent conventional abdominal hysterectomy and pelvic lymphadenectomy;Laparoscopic group were underwent laparoscopic-assisted vaginal hysterectomy and pelvic lymph node dissection. Operative time, blood loss, recovery time of gastrointestinal function, length of stay, the number of harvested lymph nodes, complications were compared. Results There were no significant differences in operative time, blood loss, the number of lymph nodes cleaned up between two groups （P 〉 0. 05 ）. Recovery time of gastrointestinal function, and length of stay in the laparoscopic group was significantly shorter than the laparotomy group, the differences were statistically significant （ t = 2.898,2.564, P 〈 0.05 ）. The complication rates （11.0% vs 19.1% ） were no significant difference （P 〉 0.05 ）. Following up for 3 months to 27 months, recurrence rates （ 6.6% vs 5.6% ） and survival rates （98.9% vs 97.8% ） were no significant difference （ all P 〉 0.05 ）. Conclusion The clinical efficacy of laparoscopic-assisted vaginal surgical treatment for early endometrial cancer was significantly superior to laparotomy surgery with advantage of minimally invasive, quick recovery.

关 键 词：癌 子宫内膜样 腹腔镜检查 妇科外科手术 

分 类 号：R737.33[医药卫生—肿瘤]