广泛性全子宫切除术与全子宫加双侧附件切除术对Ⅰ期子宫内膜癌的疗效对比  

Comparison of the Efficacy of Radical Hysterectomy and Total Hysterectomy with Bilateral Accessory for Stage Ⅰ Endometrial Carcinoma

作　　者：陈冬銮[1] 贺红英[1] 莫婧[1] 谭广萍[1] 

机构地区：[1]广西柳州市工人医院,545005

出　　处：《实用癌症杂志》2017年第6期930-932,共3页The Practical Journal of Cancer

摘　　要：目的对比分析广泛性全子宫切除术与全子宫加双侧附件切除术对Ⅰ期子宫内膜癌的疗效。方法选择Ⅰ期子宫内膜癌患者80例,按照手术治疗方法的不同分为对照组和观察组。对照组采用广泛性全子宫切除术,观察组采用全子宫加双侧附件切除术,比较2组的治疗效果。结果观察组的术中出血量和手术时间均明显低于对照组(P<0.05)。观察组的术后并发症发生率为10.00%(6/60),明显低于对照组的25.00%(5/20)(P<0.05)。2组的术后复发率及3年生存率相比无明显差异(P>0.05)。结论与广泛性全子宫切除术相比,全子宫加双附件切除术能有效减少Ⅰ期子宫内膜癌患者的术中出血量,缩短手术时间,并且降低术后的并发症发生率,具有较好的手术治疗效果。Objective To compare the efficacy of radical hysterectomy and total hysterectomy with bilateral accessory for stage Ⅰ endometrial carcinoma. Methods 80 cases of patients with stage Ⅰ endometrial carcinoma were divided into 2 groups randomly. The control group was treated with radical hysterectomy,the observation group was treated with total hysterectomy with bilateral accessory,and the efficacy was compared between the 2 groups. Results The amount of bleeding and operation time in the observation group were significantly lower than those of the control group（ P〈0. 05）; the postoperative complication rate of the observation group was 10. 00%（ 6/60）,which was significantly lower than that of the control group,25. 00%（ 5/20）（ P〈0. 05）; there was no significant difference in recurrence rates and 3-year survival rates between the 2 groups（ P〈0. 05）. Conclusion The total hysterectomy with bilateral accessory can effectively reduce the amount of bleeding in patients with stage Ⅰ endometrial carcinoma during operation,shorten the operation time,and reduce the incidence of postoperative complications,it has a better therapeutic effect.

关 键 词：广泛性全子宫切除术 全子宫加双侧附件切除术 Ⅰ期子宫内膜癌 

分 类 号：R737.33[医药卫生—肿瘤]