摘要
目的探讨腹腔镜手术对子宫内膜癌患者术中出血量及术后恢复的影响。方法将160例子宫内膜癌患者根据随机数字法分为对照组(开腹手术)和观察组(腹腔镜手术),各80例。比较2组术中情况(出血量、手术时间、盆腔淋巴结切除数目)、术后恢复(体温恢复、术后排气、膀胱功能恢复)时间及并发症(尿潴留、淋巴囊肿、盆腔感染、肺栓塞、膀胱/肠道损伤)。结果与对照组相比,观察组术中出血量明显减少,P<0.05;与对照组相比,观察组术后体温恢复时间、术后排气时间、术后膀胱功能恢复时间均明显缩短,P<0.05;与对照组相比,观察组术后并发症发生率显著降低,P<0.05。结论腹腔镜手术能够明显减少子宫内膜癌患者术中出血量,有利于患者术后恢复,降低并发症发生率。
Objective To study the effect of laparoscopic surgery on intraoperative bleeding and postoperative recovery of endometrial cancer patients. Methods 160 patients with endometrial cancer were randomized into the control group（ laparoto- my） and the observation group（laparoscopic surgery）according to the random number method,80 patients per group. Intraopera- tive conditions （ blood volume, operative time, resection number of pelvic cavity lymph node）, postoperative recovery times （ tem- perature recovery,postoperative exhaust, bladder function recovery）and postoperative complications （urinary retention, lymphatic cyst, pelvic infection, pulmonary embolism, bladder/bowel injury）between the 2 groups were compared. Results Compared with the control group, blood volume significantly decreased in the observation group （ P 〈 0.05 ） ; compared with the control group, postoperative temperature recovery time, postoperative exhaust time and bladder function recovery time obviously reduced in the observation group （P 〈 0.05 ） ;compared with the control group, the incidence of postoperative complications significantly reduced in the observation group （P 〈 0.05 ）. Conclusion Laparoscopic surgery can significantly decrease the blood volume of patients with endometrial cancer,it is conducive to postoperative recovery, and it can reduce the incidence of complications.
出处
《实用癌症杂志》
2016年第9期1492-1494,共3页
The Practical Journal of Cancer
关键词
腹腔镜
子宫内膜癌
出血量
术后恢复
laparoscopy
endometrial cancer
blood volume
postoperative recovery
