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目的探讨腹腔镜下行微创子宫切除术治疗早期子宫内膜癌的疗效。方法选取子宫内膜癌患者60例随机分为治疗组和对照组,分别采取腹腔镜手术和开腹手术治疗,对比两组患者的手术指标。结果手术时间、术中出血量、淋巴结清除个数、术后排气时间、住院时间对照组分别为(161.0±42.1)min、(489.0±104.2)ml、(64.0±9.4)个、(38.8±5.8)h、(13.3±4.8)d,治疗组分别为(251.5±29.1)min、(356.9±117.8)ml、(54.0±7.2)个、(23.7±4.9)h、(7.9±2.7)d。对照组发生尿潴留2例,占10.00%;治疗组发生尿潴留1例,占6.67%。结论腹腔镜下子宫切除术治疗早期子宫内膜癌,具有手术安全性高、疗效好的特点。
Objective To investigate the efficacy of laparoscopic minimally invasive hysterectomy in the treatment of early endometrial cancer. Methods Sixty patients with endometrial cancer were randomly divided into treatment group and control group. Laparoscopic surgery and laparotomy were performed respectively. The surgical parameters were compared between the two groups. Results The operation time, intraoperative blood loss, number of lymph node dissection, postoperative exhaust time and hospital stay were (161.0 ± 42.1) min, (489.0 ± 104.2) ml, (64.0 ± 9.4), (38.8 ± 5.8 ± 7.2 h, and 13.3 ± 4.8 d, respectively. The mean time to treatment was (251.5 ± 29.1) min, (356.9 ± 117.8) ml, (54.0 ± 7.2), (23.7 ± 4.9) h and (7.9 ± 2.7) d, respectively. In the control group, urinary retention occurred in 2 cases, accounting for 10.00%. One case of urinary retention occurred in the treatment group, accounting for 6.67%. Conclusions Laparoscopic hysterectomy for early endometrial cancer has the characteristics of high operative safety and good curative effect.