腹腔镜手术与开腹手术治疗Ⅰ期子宫内膜癌的近期及远期临床疗效观察  

Long- term and Short- term Clinical Effects of Open Operation and Laparoscopic Operation on Stage I Endometrial Cancer

作　　者：沈萍[1] 黄梅[2] 

机构地区：[1]四川省资中县人民医院,四川资中641200 [2]成都中医药大学,四川成都610075

出　　处：《河北医学》2015年第9期1423-1426,共4页Hebei Medicine

基　　金：四川省科技厅攻关项目;(编号:2012SZ0086)

摘　　要：目的:比较腹腔镜手术与开腹手术治疗Ⅰ期子宫内膜癌的近期及远期临床疗效,为手术方式选择提供理论依据。方法:收集采用传统手术治疗(开腹组)的患者40例,采用腹腔镜手术治疗(腔镜组)的患者43例,比较二者手术时间、术中出血量、术中清扫淋巴结个数、肛门排气时间、盆腹腔引流量、下床活动时间、术后导尿管留置时间、术后住院时间、并发症、排尿功能指标,以及复发和转移情况等。结果:两组患者手术时间、术中清扫淋巴结个数相似,差异无统计学意义(P>0.05);腔镜组患者术中出血量、肛门排气时间、盆腹腔引流量、下床活动时间、术后导尿管留置时间及术后住院时间均优于开腹组,差异有统计学意义(P<0.05)。腔镜组患者获得膀胱充盈感时间、获得满意排尿量时间及残余尿量≤100m L时间均明显短于开腹组,差异有统计学意义(P<0.05)。腔镜组患者并发症发生率9.30%,低于开腹组的30.00%,差异有统计学意义(P<0.05)。腔镜组局部复发4例(9.30%)、远处转移3例(6.98%),开腹组局部复发3例(7.50%)、远处转移2例(5.00%),差异无统计学意义(P<0.05)。结论:腹腔镜手术治疗Ⅰ期子宫内膜癌可取得与传统开腹手术相同的远期疗效,但是前者手术创伤小、术后恢复快,有利于保护膀胱功能,值得临床推广应用。Objective：To compare the long-term and short-term clinical effects of open operation and laparoscopic operation on stage I endometrial cancer, and to provide theoretical foundations for choice of op-eration way.Method：Data of forty patients undergoing traditional operation （ open operation group） and forty-three patients undergoing laparoscopic operation （ laparoscopic operation group） were collected, and the op-erative times, intra-operative blood losses, numbers of intra-operatively cleared lymph nodes, times to pas-sage of gas by anus, drainage volumes of abdominopelvic cavity, times to out-of-bed activity, postoperative retention times of urinary catheter, postoperative lengths of stay, complications,urination function indexes , and recurrence and metastasis conditions were compared.Rseult：The patients of the two groups had similar operative times and numbers of intra-operatively cleared lymph nodes, and the differences were statistically insignificant （ P〉0.05） .The patients of the laparoscopic operation group had better intra -operative blood loss, time to passage of gas by anus, drainage volume of abdominopelvic cavity , time to out-of-bed activity, postoperative retention time of urinary catheter, and postoperative length of stay than the open operation group, and the differences were statistically significant （ P〈0.05） .The patients of the laparoscopic operation group had shorter times to sensation of filling of bladder, satisfied urinary output, and residual urine volume was less than 100 mL than the open operation group, and the differences were statistically significant （ P〈0. 05） .The incidence of complications in the patients of the laparoscopic operation group was 9.30%, which was lower than that of the open operation group （ 30.00%） , and the difference was statistically significant （ P〈0.05） .Of the laparoscopic operation group, 4 patients （ 9.30%） had local recurrence and 3 patients （ 6. 98%） had metastasis, while of the open operation group, 3 p

关 键 词：子宫内膜癌 腹腔镜手术 开腹手术 临床疗效 

分 类 号：R737.33[医药卫生—肿瘤]