检验医学与临床
檢驗醫學與臨床
검험의학여림상
Laboratory Medicine and Clinic
2015年
17期
2497-2499
,共3页
子宫内膜癌%腹腔镜%疗效
子宮內膜癌%腹腔鏡%療效
자궁내막암%복강경%료효
endometrial cancer%laparoscopy%efficacy
目的：研究子宫内膜癌患者采用腹腔镜下手术治疗的疗效探讨。方法选择2010年6月到2013年6月该院接诊的100例子宫内膜癌患者进行研究。随机分为观察组和对照组。观察组50例患者，应用腹腔镜手术进行治疗。对照组50例患者，采用经腹手术治疗。比较两组患者各项指标（手术时间、术中出血量、住院时间、5年复发率、5年生存率）和并发症（发热、切口裂开、尿潴留、肠道损伤、膀胱损伤、盆腔感染）。结果观察组和对照组患者的一般临床资料比较，差异无统计学意义（P＞0．05）。观察组的手术时间、术中出血量、住院时间均少于对照组，两者比较差异有统计学意义（P＜0．05）；观察组和对照组患者的5年复发率、5年生存率比较，差异无统计学意义（P＞0．05）。观察组与对照组的切口裂开发生比率为0．00％与16．00％，两者相比差异有统计学意义（χ2＝8．6957，P＝0．0032）；观察组与对照组的并发症总发生比率为6．00％与34．00％，两者相比差异有统计学意义（χ2＝10．8527，P＝0．0010）。结论采用腹腔镜下手术治疗子宫内膜癌患者能有效减少手术时间、术中出血量、住院时间，并能取得良好治疗效果和降低并发症的发生率，值得临床推广。
目的：研究子宮內膜癌患者採用腹腔鏡下手術治療的療效探討。方法選擇2010年6月到2013年6月該院接診的100例子宮內膜癌患者進行研究。隨機分為觀察組和對照組。觀察組50例患者，應用腹腔鏡手術進行治療。對照組50例患者，採用經腹手術治療。比較兩組患者各項指標（手術時間、術中齣血量、住院時間、5年複髮率、5年生存率）和併髮癥（髮熱、切口裂開、尿潴留、腸道損傷、膀胱損傷、盆腔感染）。結果觀察組和對照組患者的一般臨床資料比較，差異無統計學意義（P＞0．05）。觀察組的手術時間、術中齣血量、住院時間均少于對照組，兩者比較差異有統計學意義（P＜0．05）；觀察組和對照組患者的5年複髮率、5年生存率比較，差異無統計學意義（P＞0．05）。觀察組與對照組的切口裂開髮生比率為0．00％與16．00％，兩者相比差異有統計學意義（χ2＝8．6957，P＝0．0032）；觀察組與對照組的併髮癥總髮生比率為6．00％與34．00％，兩者相比差異有統計學意義（χ2＝10．8527，P＝0．0010）。結論採用腹腔鏡下手術治療子宮內膜癌患者能有效減少手術時間、術中齣血量、住院時間，併能取得良好治療效果和降低併髮癥的髮生率，值得臨床推廣。
목적：연구자궁내막암환자채용복강경하수술치료적료효탐토。방법선택2010년6월도2013년6월해원접진적100례자궁내막암환자진행연구。수궤분위관찰조화대조조。관찰조50례환자，응용복강경수술진행치료。대조조50례환자，채용경복수술치료。비교량조환자각항지표（수술시간、술중출혈량、주원시간、5년복발솔、5년생존솔）화병발증（발열、절구렬개、뇨저류、장도손상、방광손상、분강감염）。결과관찰조화대조조환자적일반림상자료비교，차이무통계학의의（P＞0．05）。관찰조적수술시간、술중출혈량、주원시간균소우대조조，량자비교차이유통계학의의（P＜0．05）；관찰조화대조조환자적5년복발솔、5년생존솔비교，차이무통계학의의（P＞0．05）。관찰조여대조조적절구렬개발생비솔위0．00％여16．00％，량자상비차이유통계학의의（χ2＝8．6957，P＝0．0032）；관찰조여대조조적병발증총발생비솔위6．00％여34．00％，량자상비차이유통계학의의（χ2＝10．8527，P＝0．0010）。결론채용복강경하수술치료자궁내막암환자능유효감소수술시간、술중출혈량、주원시간，병능취득량호치료효과화강저병발증적발생솔，치득림상추엄。
Objective To study the efficacy of laparoscopic surgery in treating endometrial carcinoma .Methods 100 patients with endometrial carcinoma in our hospital from June 2008 to June 2011 were selected and randomly divided into the observation and the control groups ,50 cases in each group .The observation group was treated by laparoscopic surgery .The control group adopted abdominal surgery .The various indicators (operative time ,introperative blood loss amount ,hospital stay ,5‐year recurrence rate ,5‐year survival rate) and complications (fever ,wound dehiscence ,urinary retention ,intestinal in‐jury ,bladder injury ,pelvic infection) .were compared between the two groups .Results The general clinical data had no sta‐tistically significant difference between the two groups(P>0 .05);the operative time ,introperative blood loss amount and hospital stay in the observation group were less than those the control group ,the differences were statistically significant (P<0 .05);the 5‐year recurrence rate and 5‐year survival rate had no statistical difference (P>0 .05);the incision split rates in the observation group and the control group were 0 .00% and 16 .00% respectively ,the difference was statistically signifi‐cant(χ2 =8 .695 7 ,P=0 .003 2);the total incidence rates of complications in the observation group and the control group were 6 .00% and 34 .00% respectively ,the difference was statistically significant (χ2 =10 .852 7 ,P=0 .001 0) .Conclusion Adopting laparoscopic surgery for treating endometrial carcinoma can effectively reduce the operative time ,intraoperative blood loss and hospital stay ,also can achieve better therapeutic effect and reduce the incidence of complications .It is worthy of promotion in clinic .
