盆腔腹主动脉旁淋巴结清扫术对Ⅰ期子宫内膜癌患者预后的影响  

Effect of pelvic and para-aortic lymph node dissection on prognosis in patients with stage I endometrial cancer

作　　者：林婉 江少如[1] 许少榆[1] 吴素芳[1] LIN Wan;JIANG Shao-ru;XU Shao-yu;WU Su-fang(Department of Gynecology, Jieyang People's Hospital, Jieyang 522000, China)

机构地区：[1]广东省揭阳市人民医院妇科

出　　处：《广东医科大学学报》2019年第4期407-409,共3页Journal of Guangdong Medical University

摘　　要：目的分析盆腔腹主动脉旁淋巴结清扫术对I期子宫内膜癌患者预后的影响。方法118例Ⅰ期子宫内膜癌患者单用全子宫双附件切除术(对照组)或联合盆腔腹主动脉旁淋巴结清扫术(观察组)。比较两组术中出血量、住院时间、手术并发症、术后6个月生活质量、性生活情况及5a生存率。结果观察组患者术中出血量、住院时间、无瘤生存率均高于对照组,复发率低于对照组(P<0.01或0.05)。两组总并发症、术后6个月生活质量及性生活情况差异无统计学意义(P>0.05)。结论盆腔腹主动脉旁淋巴结清扫术可提高I期子宫内膜癌患者无瘤生存率。Objective To analyze the effect of pelvic and para-aortic lymphadenectomy (PPAL) on prognosis in patients with stage I endometrial cancer. Methods A total of 118 patients with stage I endometrial cancer were treated with hysterectomy and bilateral salpingo-oophorectomy (HBSO)(observation group) or additional PPAL (control group). Intraoperative bleeding, hospital stay, complications, 6-month life quality and sexual function, and 5-year survival rate were compared between two groups. Results Compared with control group, intraoperative bleeding, hospital stay, and 5-year survival rate were higher, while recurrence rate was lower in observation group (P<0.01 or 0.05). Overall complications, 6- month life quality and sexual function showed no statistic difference between two groups (P>0.05). Conclusion PPAL can improve the tumor-free survival in patients with stage I endometrial cancer.

关 键 词：子宫内膜癌 淋巴结清扫 生存率 

分 类 号：R737.33[医药卫生—肿瘤]