腹腔镜辅助阴式手术在早期子宫内膜样腺癌中的应用观察  

Application of kaleidoscopically assisted vaginal surgery in early asymmetrical carcinoma

作　　者：何莎[1] 刘灵霞[1] 王亚宁[1] 吴菲远 

机构地区：[1]重庆市巴南区人民医院妇科,重庆401320 [2]湛江市中心人民医院妇科,广东湛江524037

出　　处：《中国性科学》2016年第3期43-46,共4页Chinese Journal of Human Sexuality

基　　金：重庆市临床重点专科建设项目(渝卫【2012】143号)

摘　　要：目的:探讨腹腔镜辅助阴式手术在临床I期子宫内膜样腺癌患者中的临床治疗效果。方法:选取2011年4月至2014年4月我院收治的80例早期子宫内膜样腺癌患者资料进行分析,根据不同治疗方案将患者分为对照组和实验组,对照组采用传统开腹手术治疗,实验组采用腹腔镜手术治疗,比较两组疗效及预防感染措施。结果:实验组95%对治疗方案疗效显著,显著高于对照组(疗效有效率为85%)(P<0.05);实验组手术时间、术中出血量、淋巴结数、住院时间以及术后补充治疗间隔等指标显著少于对照组(P<0.05)。结论:早期子宫内膜癌样腺癌患者采用腹腔镜辅助阴式手术治疗效果理想,患者术后采取积极有效的措施预防感染能够提高临床疗效,值得推广使用。Objectives： To investigate the therapeutic effect of clinical assisted vaginal surgical treatment and infection control measures spectroscopy on clinical stage I asymmetrical carcinoma patients. Methods： Patient data of 80 patients with early asymmetrical carcinoma,in our hospital from April 2011 to April 2014,was analyzed.According to the different treatment options,they were divided into control group and experimental group. Control group received traditional open surgery and experimental group received macroscopic surgery. The efficacy and infection control measures of the two groups were compared. Results： The total effective rate of experimental group was 95%,which was significantly higher than control group（ 85%）（ P〈0. 05）. The operative time,blood loss,number of lymph nodes,hospital Indicator time and postoperative replacement therapy and interval of experimental group was significantly less than these of control group（ P〈0. 05）. Conclusions： Macroscopic- assisted vaginal surgical treatment for early asymmetrical cancer patients with carcinoma is an ideal treatment method. Taking positive and effective measures can prevent infection and improve clinical outcomes,which should be introduced.

关 键 词：腹腔镜辅助阴式手术 早期子宫内膜样腺癌 治疗效果 预防感染 

分 类 号：R737.33[医药卫生—肿瘤]