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探究腹腔镜手术治疗子宫内膜癌的安全性、可行性及应用价值

Explore the safety,feasibility and application value of laparoscopic surgery for endometrial cancer

  • 摘要: 目的 探究分析在子宫内膜癌的治疗中运用腹腔镜手术的安全性、可行性及应用价值。方法 选取南阳市第一人民医院收治的确诊为子宫内膜癌患者86例,并将其按照术式不同分为观察组与对照组,对照组有43例,采用传统开腹手术治疗;观察组有43例,给予腹腔镜手术治疗。对比观察两组的临床疗效。结果 观察组术中出血量、清扫淋巴结个数、住院时间、术后肛门排气时间、术后下床活动时间,以及导管留置时间均明显较对照组优,观察组并发症的发生率显著低于对照组,术后6个月观察组患者国际女性性功能评估量表各项评分均明显优于同时期的对照组,两组数据差异均存在统计学意义(P<0.05)。结论 子宫内膜癌运用腹腔镜手术治疗效果显著,创伤小,安全性高,可有效保护患者的性功能,具有较高的应用价值。

     

    Abstract: Objective To investigate the safety, feasibility and application of laparoscopic surgery in the treatment of endometrial cancer.Methods Totally 86 patients with endometrial cancer who were admitted to our hospital were selected and divided into observation group and control group according to different surgical procedures. There were 43 cases in control group, which were treated by traditional laparotomy. There were 43 cases in observation group, which was given Laparoscopic surgery. Compare the clinical efficacy of the two groups.Results The intraoperative blood loss, the number of lymph nodes dissected, length of hospital stay, postoperative anal exhaust time, postoperative ambulation time and catheter indwelling time in the observation group were significantly better than in the control group. The incidence of complications in the observation group was significantly lower than in the control group. Scores of international women's sexual function evaluation scale at 6 months after operation in observation group were significantly better than those in control group. There was significant difference between the two groups (P<0.05).Conclusion The application of laparoscopic surgery for endometrial cancer has significant therapeutic effect. The laparoscopic surgery has the characteristic ofsmall trauma and high safety. It can effectively protect the sexual function of patients and has high application value.

     

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