早期子宫内膜癌患者行腹腔镜手术治疗的手术参数、淋巴结切除数量和疾病转归情况观察  

Laparoscopic surgery for patients with early endometrial cancer:surgical parameters,number of lymph nodes resected and prognosis

作　　者：陈燕[1] 王玲[1] 居文惠[1] 甘露[1] CHEN Yan;WANG Ling;JU Wenhui;GAN Lu(Department of Obstetrics and Gynecology,Jingzhou Central Hospital,Jingzhou 434020,Hubei,China)

机构地区：[1]荆州市中心医院妇产科,湖北荆州434020

出　　处：《中国性科学》2018年第7期42-45,共4页Chinese Journal of Human Sexuality

基　　金：湖北省荆州市医疗卫生科技计划项目(2014043)

摘　　要：目的:探讨早期子宫内膜癌患者行腹腔镜手术治疗后对手术参数、淋巴结切除数量以及疾病转归的影响。方法:选取2015年8月至2016年6月荆州市中心医院收治的早期子宫内膜癌患者92例,采用随机数表法将入选患者分为观察组和对照组,每组各46例,观察组患者给予腹腔镜手术治疗,对照组患者给予开腹手术治疗,观察两组患者术后相关手术指标以及淋巴结切除数量,同时比较两组患者术后并发症发生率以及性功能恢复情况。结果:观察组患者的术中出血量、术后盆腹腔引流量(126.89±23.12ml、258.12±34.12ml)低于对照组患者(159.78±25.45ml、297.12±34.89ml),两组比较差异具有统计学意义(P<0.05);观察组患者的术后肛门排气时间、术后下床活动时间以及术后住院时间(32.12±5.12h、48.37±6.21h、5.23±0.54d)显著短于对照组患者(39.40±5.28h、59.78±5.88h、9.23±0.34d),两组比较差异具有统计学意义(P<0.05);两组患者的手术时间、盆腔淋巴结切除数以及腹主动脉旁淋巴结切除数比较,差异无统计学意义(P>0.05);观察组患者术后出现淋巴囊肿、切口愈合不良、尿潴留、下肢静脉血栓以及淋巴结转移等并发症发生率显著低于对照组患者,两组患者并发症发生率比较差异具有统计学意义(P<0.05);观察组患者术后性欲、性唤起、性高潮以及性心理评分显著高于对照组患者,比较差异具有统计学意义(P<0.05);观察组患者术后性行为异常评分(56.12±5.07分)显著低于对照组(65.12±6.02),两组比较差异具有统计学意义(P<0.05)。结论:采用腹腔镜手术治疗早期子宫内膜癌患者,对患者产生的损害较小,患者术后恢复快,同时也能够达到开腹手术切除淋巴结清扫效果,提高患者的生存质量。Objective： To investigate the effect of laparoscopic surgery on the operation parameters,the number of lymph nodes resected and the prognosis of patients with early endometrial carcinoma. Methods： 92 patients with early endometrial cancer in Jingzhou Central Hospitalfrom August 2015 to June 2016 were selected and divided into observation group and control group randomly,46 cases in each group. The observation group was treated with laparoscopic surgery,while the control group was treated with open surgery treatment. The surgery indicators and the number of lymph nodes removed were observed and the incidence of postoperative complications and recovery of sexual function were compared between the two groups. Results： The intraoperative blood loss,postoperative abdominal drainage volume of the observation group （126. 89 ± 23. 12 ml,258. 12 ± 34. 12 ml） was lower than that of the control group （159. 78 ± 25. 45 ml,297. 12 ± 34. 89 ml）,with statistically significant difference between the two groups （P〈 0. 05）. The postoperative anal exhaust time,postoperative ambulation time and postoperative hospital stay of the observation group （32. 12 ± 5. 12 h,48. 37 ± 6. 21 h,5. 23 ± 0. 54 d） was significantly shorter than that of the control group （39. 40 ± 5. 28 h,59. 78 ± 5. 88 h,9. 23 ± 0. 34 d）,with statistically significant difference between the two groups （P〈 0. 05）. Differences in the operation time,number of aortic lymph node resected andnumber of para-aortic lymph node resected were not statistically significant （P〉 0. 05）. The incidence of lymph cyst,poor wound healing,urinary retention,venous thrombosis and lymph node metastasis in the observation group was lower than that of the control group,with statistically significant difference （P〈 0. 05）. The sexual desire,sexual arousal,orgasm and sexual psychological scores of the observation group were significantly higher than those in the control group,with statistically significant difference （P〈 0. 05）. Th

关 键 词：早期子宫内膜癌 腹腔镜 淋巴结 

分 类 号：R737.33[医药卫生—肿瘤]