摘要
目的探讨传统开腹手术与腹腔镜子宫内膜癌根治术治疗子宫内膜癌的近期临床效果。方法选取2015年5月—2017年5月收治的98例子宫内膜癌患者作为研究对象,根据不同手术方式将其分为对照组46例和观察组52例。对照组予以传统开腹手术治疗,观察组予以腹腔镜子宫内膜癌根治术治疗。比较2组的近期临床疗效及并发症发生情况。结果观察组的术中出血量和术后腹腔引流量较对照组少,术后排气时间、住院时间、获得膀胱充盈感时间、获得满意排尿量时间和残余尿量≤100 ml时间均较对照组短(P<0.01)。观察组并发症总发生率显著低于对照组(P<0.05)。结论腹腔镜子宫内膜癌根治术可减少子宫内膜癌患者的术中出血量和术后腹腔引流量,加快术后恢复,且对术后排尿功能影响较小,具有一定的安全性。
Objective To investigate short-term clinical effects of traditional laparotomy and laparoscopic radical operation in treatment of patients with endometrial cancer. Methods A total of 98 patients with endometrial cancer admitted during May 2015 and May 2017 were divided into control group ( n =46) and observation group ( n =52) according to different surgical methods. Control group was treated with traditional laparotomy, while observation group was treated with laparoscopic radical operation for endometrial cancer. Short-term clinical effect and incidence rate of complications were compared in two groups. Results In observation group, volumes of intraoperative bleeding and postoperative abdominal drainage were less, and times of postoperative exhaust, hospitalization, feeling bladder filling, satisfactory urination volume and residual urine volume equal or less than 100 ml were shorter than those in control group ( P <0.01). The total incidence rate of complications in observation group was significantly lower than that in control group ( P <0.05). Conclusion Laparoscopic radical resection for patients with endometrial cancer may reduce intraoperative bleeding and postoperative abdominal drainage volumes and accelerate postoperative recovery, and it has less effect on postoperative urinary function with a certain safety.
作者
崔素英
任春梅
周敏
CUI Su-ying;REN Chun-mei;ZHOU Min(Department of Obstetrics and Gynecology, Jiangbei District People's Hospital Red Cross Hospital of Chongqing, Chongqing 400020, China)
出处
《解放军医药杂志》
CAS
2019年第3期56-59,共4页
Medical & Pharmaceutical Journal of Chinese People’s Liberation Army
基金
重庆市卫生和计划生育委员会医学科研基金资助项目(2015MSXM142)
关键词
子宫内膜肿瘤
腹腔镜
子宫内膜癌根治术
治疗效果
Endometrial neoplasms
Laparoscopes
Radical operation for endometrial cancer
Treatment effectiveness
