摘要
目的腹腔镜手术对比开腹手术治疗子宫内膜癌的可行性及安全性分析。方法选择早期子宫内膜癌患者共90例,根据手术方式的不同将所有患者分为研究组以及常规组,每组患者各45例。研究组接受腹腔镜治疗,常规组接受传统开腹手术治疗。观察比较2组患者的手术时间、出血量、排气时间、尿管留置时间以及并发症等指标。结果研究组患者的手术时间为(184. 3±41. 2) min、出血量为(156. 3±60. 2) ml、排气时间为(1. 7±0. 8) d、尿管留置时间为(7. 3±1. 2) d,住院时间(10. 3±2. 2) d,常规组手术时间为(235. 3±38. 6) min、出血量(221. 3±71. 2) ml、排气时间(3. 1±0. 6) d、尿管留置时间(12. 3±3. 2) d、住院时间(15. 3±3. 5) d,2组比较差异具备统计学意义(P <0. 05)。研究组患者发生例1例淋巴囊肿、1例尿潴留、1例肠梗阻,并发症总发生率为6. 67%(3/45);常规组患者发生2例淋巴囊肿、2例尿潴留、1例肠梗阻、2例切口愈合不良,并发症总发生率为15. 56%(7/45),组间差异具备统计学意义(P <0. 05)。结论采用腹腔镜手术治疗子宫内膜癌能够降低患者术后并发症的发生率,缩短住院时间、排气时间,同时术中患者出血量较少,安全性较高,在临床中值得推广使用。
Objective To compare the feasibility and safety of laparoscopic surgery for endometrial carcinoma. Methods A total of 90 patients with early endometrial cancer,according to the different methods of operation all patients were divided into research group and routine group,45 cases in each group of patients,the team accepted laparoscopic treatment,regular group treated with traditional open operation,observe the comparison of two groups of patients with operation time,blood loss,exhaust time,urine tube indwelling time and complications. Results The operation time of the patients in the study group was( 184. 3 ± 41. 2)min,the blood volume was( 156. 3 ± 60. 2) ml,the exhaust time was( 1. 7 ± 0. 8) d,and the urinary catheter was( 7. 3 ± 1. 2)d,and the hospital time was( 10. 3 ± 2. 2) d. Regular set operation time was( 235. 3 ± 38. 6) min,the bleeding( 221. 3 ± 71. 2)ml,exhaust time( 3. 1 ± 0. 6) 、( 12. 3 ± 3. 2) d durine tube indwelling time,length of hospital stay( 15. 3 ± 3. 5) d,the more similar between the two groups have statistical significance( P < 0. 05),in patients with team lymph cyst 1 case,1 case of urinary retention,1 case of intestinal obstruction complication rate was 6. 67%( 3/45);Routine group in patients with lymph cyst 2 cases,2 cases of urinary retention,1 case of intestinal obstruction,2 cases of poor healing of incision,incidence of complications was15. 56%( 7/45),the comparative differences between groups( P < 0. 05),with statistical significance. Conclusion The treatment of patients with endometrial carcinoma,laparoscopic surgery can reduce the complications of patients,shorten the hospitalization time,exhaust time,at the same time,intraoperative blood loss in patients with small,high security,is worth popularization in clinical use.
作者
廖丽川
蒋瑜
LIAO Lichuan;JIANG Yu(Kaizhou District People's Hospital,Chongqing,405400)
出处
《实用癌症杂志》
2019年第3期485-487,共3页
The Practical Journal of Cancer
关键词
腹腔镜
传统手术
子宫内膜癌
并发症
Laparoscope
Traditional surgery
Endometrial cancer
Complications
