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目的:对腹腔镜和开腹分期手术治疗子宫内膜癌短期的临床疗效进行比较。方法:通过回顾性分析2015年8月至2017年2月收住我院行腹腔镜和开腹手术治疗的早期子宫内膜癌患者20例,根据手术方式不同进行分组研究,其中对照组10例,采用传统开腹手术行筋膜外全子宫加双附件切除术加行盆腔淋巴结清扫+腹主动脉旁淋巴结取样。研究组10例,采用腹腔镜下行筋膜外全子宫加双附件切除术加行盆腔淋巴结清扫+腹主动脉旁淋巴结取样,采用SPSS 19.0统计数据软件分析处理数据,用均数±标准差表示结果,计量资料比较采用t检验,计数资料采用X2检验,P<0.05为差异有统计学意义。比较两组患者手术临床特征、术后并发症及术后恢复等情况。结果:研究组患者的手术时间、术中出血量、术后排气时间及恢复日常活动时间明显优于对照组患者;研究组患者的生活质量评分明显优于对照组患者,数据差异具有统计学意义(P<0.05)。结论:腹腔镜手术治疗子宫内膜癌短期疗效具有切口小、出血量少等优势,极大的缩短了患者的住院时间,提高了患者的生活质量,值得推广。
Objective: To compare the short-term clinical efficacy of laparoscopic and open staged surgery for endometrial cancer. Methods: A retrospective analysis of 20 patients with early endometrial cancer who underwent laparoscopic and open surgery in our hospital from August 2015 to February 2017 was performed. The control group consisted of 10 patients , The use of traditional laparoscopic fascia extrafascial uterine plus double attachment resection plus pelvic lymph node dissection + para-aortic lymph node sampling. The study group consisted of 10 patients who underwent laparoscopic total fascia plus double-attachment excision combined with pelvic lymph node dissection and para-aortic lymph node sampling. Data were analyzed by SPSS 19.0 statistical software and the results were expressed as mean ± standard deviation , Measurement data using t test, count data using the X2 test, P <0.05 for the difference was statistically significant. The clinical features, postoperative complications and postoperative recovery of the two groups were compared. Results: The operation time, intraoperative blood loss, postoperative exhaust time and daily activity recovery time of the study group were significantly better than those of the control group. The quality of life scores of the study group were significantly better than those of the control group, and the difference was statistically significant Significance (P <0.05). Conclusion: Laparoscopic surgery for short-term efficacy of endometrial cancer with small incision, less bleeding and other advantages, which greatly shortened the patient’s hospital stay, improve the quality of life of patients, it is worth promoting.