腹腔镜与开腹子宫切除术治疗早期子宫内膜癌的效果对比  

Comparison on the Effects of Laparoscopic Hysterectomy and Open Hysterectomy in the Treatment of Early Endometrial Cancer

作　　者：刘晓华 苏艳娇 LIU Xiaohua;SU Yanjiao(Department of Gynecology,Lankao First Hospital,Lankao 475300,China)

机构地区：[1]河南省兰考第一医院妇科,河南兰考475300

出　　处：《临床医学工程》2023年第12期1645-1646,共2页Clinical Medicine & Engineering

摘　　要：目的比较腹腔镜与开腹子宫切除术治疗早期子宫内膜癌的效果。方法82例早期子宫内膜癌患者按照手术方式的不同分为两组。传统组应用开腹子宫切除术治疗,观察组应用腹腔镜子宫切除术治疗。比较两组的治疗效果。结果观察组的手术时间、膀胱充盈时间、排尿量恢复正常时间、住院时间均短于传统组,术中出血量少于传统组(P<0.05)。术后,观察组的最大逼尿肌压、平均尿流率均高于传统组,残余尿量少于传统组(P<0.05)。观察组的手术并发症发生率为2.38%,低于传统组的20.00%(P<0.05)。结论腹腔镜子宫切除术治疗早期子宫内膜癌患者可显著改善临床指标和排尿功能,手术安全性高。Objective To compare the effects of laparoscopic hysterectomy and open hysterectomy in the treatment of early endometrial cancer.Methods 82 patients with early endometrial cancer were divided into two groups according to different surgical methods.The traditional group was treated with open hysterectomy,and the observation group was treated with laparoscopic hysterectomy.The therapeutic effects of the two groups were compared.Results The operation time,bladder filling time,time for urine output to return to normal and hospitalization time of the observation group were shorter than those of the traditional group,and the intraoperative blood loss amount was less than that of the traditional group(P<0.05).After surgery,the maximum detrusor pressure and average urinary flow rate of the observation group were higher than those ofthe traditional group,and the residual urine volume was less than that ofthe traditional group(P<0.05).The incidence of surgical complications of the observation group was 2.38%,lower than 20.00%of the traditional group(P<0.05).Conclusions Laparoscopic hysterectomy in the treatment of patients with early endometrial cancer can significantly improve clinical indicators and urinary function,and has high surgical safety.

关 键 词：开腹子宫切除术 腹腔镜子宫切除术 早期子宫内膜癌 

分 类 号：R713.42[医药卫生—妇产科学]