实用癌症杂志
實用癌癥雜誌
실용암증잡지
THE PRACTICAL JOURNAL OF CANCER
2015年
2期
269-272
,共4页
学习曲线%子宫内膜癌%腹腔镜下分期手术
學習麯線%子宮內膜癌%腹腔鏡下分期手術
학습곡선%자궁내막암%복강경하분기수술
Learning curve%Endometrial Cancer%Laparoscopically Assisted Surgical Staging
目的：通过腹腔镜手术治疗子宫内膜癌，比较术者在不同阶段的手术结果，探讨学习曲线在该术式中的规律。方法选取由同一组医师连续完成的100例手术患者，按时间先后顺序每25例为一组，共分成4组，代表手术的4个阶段，对患者的一般资料、手术情况、术后并发症以及病理情况等进行统计分析。结果术中出血量A组为（560．7＋196．3）ml，D组为（369．5＋126．2）ml，差异有统计学意义（P＜0．05），进一步两两比较结果显示，C、D组出血量少于A、B组（P＜0．05）。手术时间A组为（245．2＋40．7）min，D组为（188．4＋25．36）min，差异有统计学意义（P＜0．05），C、D组手术时间也短于A、B组（P＜0．05）。而在手术并发症发生率、淋巴结切除总数和住院时间等方面，各组间比较差异无统计学意义（P＞0．05）。结论腹腔镜子宫内膜癌微创手术的学习曲线大约为50例患者，随着医生手术例数的累积可明显缩短手术时间，减少术中出血，能达到相对熟练和稳定的程度。
目的：通過腹腔鏡手術治療子宮內膜癌，比較術者在不同階段的手術結果，探討學習麯線在該術式中的規律。方法選取由同一組醫師連續完成的100例手術患者，按時間先後順序每25例為一組，共分成4組，代錶手術的4箇階段，對患者的一般資料、手術情況、術後併髮癥以及病理情況等進行統計分析。結果術中齣血量A組為（560．7＋196．3）ml，D組為（369．5＋126．2）ml，差異有統計學意義（P＜0．05），進一步兩兩比較結果顯示，C、D組齣血量少于A、B組（P＜0．05）。手術時間A組為（245．2＋40．7）min，D組為（188．4＋25．36）min，差異有統計學意義（P＜0．05），C、D組手術時間也短于A、B組（P＜0．05）。而在手術併髮癥髮生率、淋巴結切除總數和住院時間等方麵，各組間比較差異無統計學意義（P＞0．05）。結論腹腔鏡子宮內膜癌微創手術的學習麯線大約為50例患者，隨著醫生手術例數的纍積可明顯縮短手術時間，減少術中齣血，能達到相對熟練和穩定的程度。
목적：통과복강경수술치료자궁내막암，비교술자재불동계단적수술결과，탐토학습곡선재해술식중적규률。방법선취유동일조의사련속완성적100례수술환자，안시간선후순서매25례위일조，공분성4조，대표수술적4개계단，대환자적일반자료、수술정황、술후병발증이급병리정황등진행통계분석。결과술중출혈량A조위（560．7＋196．3）ml，D조위（369．5＋126．2）ml，차이유통계학의의（P＜0．05），진일보량량비교결과현시，C、D조출혈량소우A、B조（P＜0．05）。수술시간A조위（245．2＋40．7）min，D조위（188．4＋25．36）min，차이유통계학의의（P＜0．05），C、D조수술시간야단우A、B조（P＜0．05）。이재수술병발증발생솔、림파결절제총수화주원시간등방면，각조간비교차이무통계학의의（P＞0．05）。결론복강경자궁내막암미창수술적학습곡선대약위50례환자，수착의생수술례수적루적가명현축단수술시간，감소술중출혈，능체도상대숙련화은정적정도。
Objective To compare the treatment of endometrial cancer by laparoscopic surgery in the different stages, explore the law of learning curve in this surgery and assess its clinical efficacy.Methods 100 cases of endometrial cancer that were completed consecutively by a single surgical team were divided into 4 groups(n=25) based on the chronological order of surgery,on behalf of the surgery in 4 stages.General information,surgical conditions,postoperative complications and pathological conditions were statistically analyzed.Results The bleeding volume was(560.7 +196.3) ml in group A,and was(369.5 +126.2) ml in group D,there was significant difference(P<0.05).Further comparisons between both of them showed that the bleeding volume in group C and D were less than those of group A and B( P<0.05) .The operating time in group A was(245.2+40.7)min,and was(188.4+25.36)min in group D,there was significant difference(P<0.05).The operating time in group C and D was less than those of group A and B(P<0.05).There was no significant difference in postoperative complications,lym-phatic nodes dissection number and hospital stay among groups(P>0.05).Conclusion The learning curve of minimally inva-sive laparoscopic radical surgery for endometrial cancer is about 50 cases.With the cumulative number of cases,surgeons can sig-nificantly shorten the operation time,reduce the blood loss and relatively achieve a degree of proficiency and stablity.
