腹腔镜辅助下手术治疗Ⅰ期子宫内膜癌患者的可行性分析  

Feasibility analysis of laparoscopic-assisted surgery in the treatment of patients with stage Ⅰ endometrial cancer

作　　者：杨俏[1] 廖燕飞[1] 李春玲[1] YANG Qiao;LIAO Yanfei;LI Chunling(Department of Gynecology,Wuchuan People's Hospital,Guangdong,Wuchuan 524500,China)

机构地区：[1]广东省吴川市人民医院妇科,广东吴川524500

出　　处：《中国医药科学》2020年第4期257-260,共4页China Medicine And Pharmacy

摘　　要：目的探讨腹腔镜辅助下手术治疗Ⅰ期子宫内膜癌患者的可行性。方法回顾性分析我院2012年1月~2016年1月收治的Ⅰ期子宫内膜癌患者50例,按手术途径不同分为腹腔镜组(n=25,腹腔镜手术)及开腹组(n=25,开腹手术),比较两组近期、远期效果。结果近期效果:腹腔镜组手术时间长于开腹组,术中出血量少于开腹组,术后恢复相关时间短于开腹组,差异有统计学意义(P <0.05);远期效果:腹腔镜组术后性功能评分高于开腹组,差异有统计学意义(P <0.05);随访3年,腹腔镜组总复发率为8.0%,累计生存率为96.0%;开腹组总复发率为12.0%,累计生存率为88.0%;差异无统计学意义(P> 0.05)。结论腹腔镜手术治疗Ⅰ期子宫内膜癌近期效果优于开腹手术,且远期效果与开腹手术无明显差异,可行性高,不失为一种安全、有效的治疗手段。Objective To investigate the feasibility of laparoscopic-assisted surgery in the treatment of patients with stage Ⅰ endometrial cancer. Methods 50 patients with stage Ⅰ endometrial cancer admitted to our hospital from January 2012 to January 2016 were retrospectively analyzed.The patients were divided into laparoscopic group(n=25,laparoscopic surgery) and laparotomy group(n=25,laparotomy surgery) according to different surgical approaches.The short-term and long-term effects of the two groups were compared. Results In terms of short-terms, the operation time of the laparoscopic group was longer than that of the laparotomy group.The intraoperative blood loss was less than that of the laparotomy group.The postoperative recovery time was shorter than that of the laparotomy group.The differences were all statistically significant(P < 0.05).In terms of long-term effects, the postoperative sexual function scores of the laparoscopic group were higher than those of the laparotomy group,and the differences were statistically significant(P < 0.05).At the 3-year follow-up,the total recurrence rate was 8.0% and the cumulative survival rate was 96.0% in the laparoscopic group.The total recurrence rate was 12.0%,and the cumulative survival rate was 88.0% in the laparotomy group.There was no significant difference between the two groups(P > 0.05). Conclusion The short-term effect of laparoscopic surgery for stage I endometrial cancer is better than that of laparotomy surgery,and the long-term effect is not significantly different from that of laparotomy surgery.The former is a safe and effective treatment method with high feasibility.

关 键 词：Ⅰ期子宫内膜癌 腹腔镜手术 开腹手术 性功能 复发 生存率 近期效果 远期效果 

分 类 号：R737.33[医药卫生—肿瘤]