摘要
目的比较腹腔镜与开腹手术治疗子宫内膜癌的效果,以期为临床治疗提供参考。方法本研究选取河南省信阳市息县人民医院2019年3月—2021年10月收治的72例子宫内膜癌患者为研究对象。采用随机数字表法将患者分为对照组与研究组,每组36例。对照组患者采用开腹手术治疗,研究组患者采用腹腔镜手术治疗。比较2组患者手术时间、术中出血量、术后排气时间、淋巴结切除个数以及住院时间。比较2组患者出院时女性性功能量表(FSFI)评分及术后第2天视觉模拟疼痛评分量表(VAS)评分。比较2组患者出院时生活质量调查量表(SF-36)评分。比较2组患者住院期间并发症发生情况。比较2组患者出院后半年远处转移率及复发率。结果研究组患者手术时间、术后排气时间、住院时间均短于对照组,差异均有统计学意义(P<0.05)。研究组患者术中出血量少于对照组,差异有统计学意义(P<0.05)。研究组患者淋巴结切除个数多于对照组,差异有统计学意义(P<0.05)。研究组患者FSFI评分高于对照组,差异有统计学意义(P<0.05)。研究组患者VAS评分低于对照组,差异有统计学意义(P<0.05)。研究组患者SF-36中生活功能、生理职能、躯体疼痛、活力、社会功能、情感职能、总体健康评分均高于对照组,差异均有统计学意义(P<0.05)。研究组患者并发症发生率低于对照组,差异有统计学意义(P<0.05)。研究组患者远处转移率及复发率均低于对照组,差异均有统计学意义(P<0.05)。结论相较于开腹手术,腹腔镜手术治疗子宫内膜癌的效果更佳,能缩短患者恢复时间,改善患者性功能,提升患者生活质量,改善远期预后效果,值得临床推广应用。
Objective To compare and analyze the effectiveness of laparoscopy and laparotomy in the treatment of endometrial carcinoma,so as to provide a reference for clinical treatment.Methods Seventy-two patients with endometrial carcinoma admitted to the People's Hospital of Xixian from March 2019 to October 2021 were selected as the study participants.The patients were assigned to a control group and a study group by random number table,with 36 cases in each group.Patients in the control group received laparotomy.Patients in the study group received laparoscopic surgery.The operation time,intraoperative blood loss,postoperative flatus time,number of lymph nodes removed and hospital stay were compared between the two groups.The Female Sexual Function Index(FSFI)score at discharge and visual analogue scale(VAS)score on the second postoperative day were compared between the two groups.The 36-Item Short-Form Health Survey(SF-36)scores at discharge were compared between the 2 groups.Complications during hospitalization were compared between the 2 groups.The distant metastasis rate and recurrence rate were compared between the two groups 6 months after discharge.Results The operation time,postoperative flatus time,and hospital stay in the study group were significantly shorter than those in the control group(P<0.05).The intraoperative blood loss in the study group was significantly less than that in the control group(P<0.05).The number of lymph nodes resected in the study group was significantly more than that in the control group(P<0.05).The FSFI score in the study group was significantly higher than that in the control group(P<0.05).The VAS score in the study group was significantly lower than that in the control group,(P<0.05).The scores of physical functioning,role physical,bodily pain,vitality,social functioning,role emotional,and general health in the SF-36 in the study group were significantly higher than those in the control group(P<0.05).The incidence rate of complications in the study group was significantly lower than that in the control group(P<0.05).The distant metastasis rate and recurrence rate in the study group were significantly lower than those in the control group(P<0.05).Conclusion Compared with laparotomy,laparoscopy is more effective in the treatment of endometrial carcinoma,which can shorten the recovery time,improve sexual function,increase the quality of life,and ameliorate the long-term prognosis.These benefits justify a wider application of this procedure clinically.
作者
王莉
张嫚
杨玮
Wang Li;Zhang Man;Yang Wei(Department of Gynecology,People's Hospital of Xixian,Xinyang Henan 464300,China)
出处
《保健医学研究与实践》
2023年第1期26-28,36,共4页
Health Medicine Research and Practice
关键词
腹腔镜
开腹手术
性功能
疼痛
生活质量
远处转移
Laparoscopy
Laparotomy
Sexual function
Pain
Quality of life
Distant metastasis
