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目的探讨腹腔镜高位腹主动脉旁淋巴结切除术对子宫内膜癌近远期生存率的影响,为临床治疗子宫内膜癌提供理论依据。方法选取2011年8月-2014年8月在该院住院治疗的子宫内膜癌患者60例,随机分为观察组和对照组,每组各30例。并对其临床资料进行回顾性分析,其中对照组患者行腹腔镜下子宫切除术加盆腔淋巴结切除,观察组患者在对照组基础上行高位腹主动脉旁淋巴结切除,术后两组患者给予相同化疗,比较两组患者的临床疗效。结果观察组盆腔淋巴结转移及腹主动脉旁淋巴结转移例数均明显少于对照组,术后生存率明显优于对照组(P<0.05)。结论腹腔镜高位腹主动脉旁淋巴结切除术能够明显改善患者的预后,降低患者术后淋巴结转移率,提高患者生存率。
Objective To investigate the effect of laparoscopic para-aortic lymph node dissection on the short-term and long-term survival rate of endometrial cancer and provide a theoretical basis for clinical treatment of endometrial cancer. Methods Sixty patients with endometrial cancer hospitalized in our hospital from August 2011 to August 2014 were randomly divided into observation group and control group, with 30 cases in each group. The patients in the control group underwent laparoscopic hysterectomy plus pelvic lymph node dissection. The patients in the observation group underwent resection of paraaortic para-aortic lymph nodes on the basis of the control group. The patients in the two groups were given the same chemotherapy , Comparing the clinical efficacy of two groups of patients. Results The cases of pelvic lymph node metastasis and para-aortic lymph node metastasis in observation group were significantly less than those in control group. The postoperative survival rate was significantly better than that in control group (P <0.05). Conclusion Laparoscopic para-aortic lymph node dissection can significantly improve the prognosis of patients, reduce postoperative lymph node metastasis and improve patient survival.