筋膜外全子宫切除联合双侧附件切除术在Ⅰ期子宫内膜癌围术期的应用  

Perioperative application of total extrafascial hysterectomy combined with bilateral adnexectomy in patients with stage Ⅰ endometrial carcinoma

作　　者：潘小梅 Pan Xiaomei(Department of Gynecology,Pingnan People's Hospital,Guigang 537300,China)

机构地区：[1]贵港市平南县人民医院妇科,广西贵港537300

出　　处：《实用妇科内分泌电子杂志》2023年第13期16-18,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的分析Ⅰ期子宫内膜癌(EC)患者选用筋膜外全子宫切除联合双侧附件切除术的效果。方法选取70例Ⅰ期EC患者,采用抽签法分为试验组与对照组,各35例。对照组实行开腹手术,试验组实行筋膜外全子宫切除联合双侧附件切除术。比较两组临床疗效。结果相比对照组,试验组围术期指标、血清相关指标及肿瘤标志物水平均较低(P<0.05)。试验组总有效率为97.14%,高于对照组的71.43%,差异有统计学意义(P<0.05)。结论针对Ⅰ期EC患者,选择筋膜外全子宫切除联合双侧附件切除术治疗,疗效显著,不仅能改善患者血清、围术期等指标,还能控制炎症状态,且安全性高,值得推广。Objective To analyze the effect of extrafascial total hysterectomy combined with bilateral adnexectomy in patients with stage Ⅰ endometrial cancer(EC).Methods 70 patients with stage Ⅰ EC were selected and divided into experimental group and control group with 35 patients in each group by drawing lots.The control group underwent laparotomy,and the experimental group underwent total extrafascial hysterectomy combined with bilateral adnexectomy.The clinical efficacy of the two groups was compared.Results Compared with control group,the levels of perioperative indexes,serum related indexes and tumor markers in experimental group were lower(P<0.05).The total effective rate of experimental group was 97.14%,which was higher than that of control group(71.43%),and the difference was statistically significant(P<0.05).Conclusion For stage Ⅰ EC patients,the choice of total extrafascial hysterectomy combined with bilateral adnexectomy has significant efficacy,which can not only improve the serum and perioperative indexes of patients,but also control the infammatory state,and is safe,worthy of promotion.

关 键 词：Ⅰ期子宫内膜癌 围术期 筋膜外全子宫切除 双侧附件切除术 开腹手术 肿瘤标志物 

分 类 号：R737.33[医药卫生—肿瘤]