腹腔镜下全子宫、双附件切除术治疗Ⅰ期子宫内膜癌的临床效果  

Clinical effect of laparoscopic total hysterectomy and double attachment resection in the treatment of stageⅠendometrial cancer

作　　者：张习军 张静 ZHANG Xi-jun;ZHANG Jing(Obstetrics and Gynecology Department,Affiliated Baoji Hospital of Xi'an Medical University,Baoji 721006,China)

机构地区：[1]西安医学院附属宝鸡医院妇产科,陕西宝鸡721006

出　　处：《临床医学研究与实践》2020年第6期90-92,共3页Clinical Research and Practice

摘　　要：目的探讨腹腔镜下全子宫、双附件切除术治疗Ⅰ期子宫内膜癌的临床效果。方法选取2013年4月至2016年4月本院收治的100例Ⅰ期子宫内膜癌患者作为研究对象,根据不同治疗方法将其分为对照组与试验组,各50例。对照组采用腹腔镜下广泛全子宫切除术治疗,试验组采用腹腔镜下全子宫、双附件切除术治疗。比较两组的治疗效果。结果试验组的手术用时、术后排气时间及住院时间均短于对照组,术中出血量少于对照组(P<0.05)。试验组的并发症总发生率为4.00%,显著低于对照组的18.00%(P<0.05)。随访3年后,两组的复发、远处转移、生存率比较,差异无统计学意义(P>0.05)。术后3年,试验组的SF-36评分高于对照组(P<0.05)。结论腹腔镜下全子宫、双附件切除术治疗Ⅰ期子宫内膜癌具有创伤小、术后恢复快、并发症少的特点,并且患者3年复发率、远处转移率较低,生存率较高,值得临床推广应用。Objective To investigate the clinical effect of laparoscopic total hysterectomy and double attachment resection in the treatment of stageⅠendometrial cancer.Methods From April 2013 to April 2016,100 patients with stageⅠendometrial cancer admitted in our hospital were selected as the study object.According to the different treatment methods,they were divided into control group and experimental group,with 50 cases in each group.The control group was treated with laparoscopic extensive hysterectomy,and the experimental group was treated with laparoscopic total hysterectomy and double attachment resection.The therapeutic effects of the two groups were compared.Results The operation time,exhaust time and hospitalization time in the experimental group were shorter than those in the control group,and the intraoperative hemorrhage was less than that in the control group(P<0.05).The total incidence of complications in the experimental group was 4.00%,which was significantly lower than 18.00%in the control group(P<0.05).After 3 years follow-up,there were no significant differences in the rates of recurrence,distant metastasis and survival between the two groups(P>0.05).Three years after operation,the score of SF-36 in the experimental group was higher than that in the control group(P<0.05).Conclusion Laparoscopic total hysterectomy and double attachment resection in the treatment of stageⅠendometrial cancer has the characteristics of small trauma,quick postoperative recovery and few complications,with lower 3-year recurrence rate and distant metastasis rate,higher survival rate,which is worthy of clinical promotion and application.

关 键 词：腹腔镜下全子宫切除 双附件切除 Ⅰ期子宫内膜癌 

分 类 号：R737.33[医药卫生—肿瘤]