CO2气腹下腹腔镜淋巴结切除治疗子宫内膜癌的临床效果及对患者QOL评分的影响  

Clinical effect of CO2 pneumoperitoneum laparoscopic lymph node resection for endometrial carcinoma and QOL score of the patients impact

作　　者：罗妍 金志军[1] LUO Yan;JIN Zhi-jun(Obstetrics and Gynecology Department in Shanghai Changzheng Hospital,Shanghai 200003, China)

机构地区：[1]上海长征医院妇产科

出　　处：《黑龙江医药科学》2019年第4期229-231,共3页Heilongjiang Medicine and Pharmacy

摘　　要：目的:探讨CO2气腹下腹腔镜淋巴结切除治疗子宫内膜癌的临床效果及对患者QOL评分的影响。方法:将2014-01~2015-01于我院进行治疗的98例子宫内膜癌患者,依据手术方式的不同分为研究组和对照组。对照组行传统开腹手术淋巴结切除治疗,研究组进行CO2气腹下腹腔镜淋巴结切除治疗。对两组患者的手术观察指标状况、术中及术后并发症发生状况、QOL评分、临床效果进行对比。结果:研究组患者手术用时、术中出血量、术后排气时间、疼痛消失时间、住院时间等状况均优于对照组(P<0.05);研究组患者术中、术后并发症发生状况优于对照组(P<0.05);治疗前两组患者生活质量在整体健康状况、功能、症状三方面量表的评分不存在可比性差异(P>0.05),治疗后研究组患者上述生活质量量表评分均高于对照组(P<0.05);研究组患者的缓解率高于对照组(P<0.05)。结论:子宫内膜癌患者实行CO2气腹下腹腔镜淋巴结切除治疗,临床疗效明显,可显著提升患者的术后生活质量,术中术后的并发症少,安全性高。Objective: To explore the clinical effect of CO 2 pneumoperitoneum laparoscopic lymph node resection in the treatment of endometrial carcinoma and the effect on patients' QOL score. Methods: A total of 98 patients with endometrial carcinoma who were treated in our hospital from January 2014 to January 2015 were divided into a study group and a control group according to different surgical methods. In the control group, lymph nodes were excised with traditional open surgery, and CO 2 pneumoperitoneum laparoscopic lymph nodes resection was performed in the study group. The operative observation indicators, intraoperative and postoperative complications, QOL score and clinical effect of the two groups were compared. Results: The operating time, intraoperative blood loss, postoperative exhaust time, pains disappear time and hospitalization time of the patients in the study group were all better than those in the control group (P<0.05). Intraoperative and postoperative complications in the study group were better than those in the control group (P<0.05). There was no comparable difference in the scores of the three scales of overall health status, function and symptoms in the two groups before treatment (P>0.05), and the scores of the above qol in the study group were higher than those in the control group after treatment (P<0.05). The remission rate in the study group was higher than that in the control group (P<0.05). Conclusion:CO 2 pneumoperitoneum laparoscopic lymph node resection in patients with endometrial cancer is clinically effective and can significantly improve the postoperative quality of patients’ life with less complications and high safety.

关 键 词：CO2气腹 腹腔镜 淋巴结切除 子宫内膜癌 临床效果 QOL评分 

分 类 号：R737.33[医药卫生—肿瘤]