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目的:探讨腹腔镜用于子宫内膜癌分期手术的可行性及近期疗效。方法:回顾性分析我院在2006-2009因子宫内膜癌行手术治疗的病例共86例,其中腹腔镜次广泛子宫切除术加腹主、盆腔淋巴结清除术39例,经腹广泛子宫切除、盆腔、腹主动脉淋巴结清除术47例作为对照,从手术时间、出血量、排气时间、术后病率、伤口感染发生率、清除淋巴数量、住院时间、住院总费用等方面进行比较。结果:两组患者在年龄、分期、病理类型方面差异无统计学意义;腹腔镜手术组在淋巴结清除数量与开腹手术组比较,差异无统计学意义,P>0.05;腹腔镜手术组在出血量、排气时间、术后并发症发生率、切口感染率均显著优于开腹组,P<0.05。结论:腹腔镜入路具有创伤小、恢复快的优点,用于子宫内膜癌分期手术可以达到与开腹手术相同的疗效,可以作为子宫内膜癌手术的首选入路。
Objective: To investigate the feasibility and short-term curative effect of laparoscopic staging for endometrial cancer. Methods: A retrospective analysis of our hospital in 2006-2009 cases of endometrial cancer underwent surgical treatment of a total of 86 cases, including laparoscopic radical hysterectomy plus abdominal, pelvic lymphadenectomy in 39 cases, extensive abdominal hysterectomy, Pelvic and abdominal aortic lymph node dissection 47 cases as control, from the operation time, blood loss, exhaust time, postoperative morbidity, incidence of wound infection, the number of clear lymph nodes, hospital stay, hospitalization costs and other aspects were compared. Results: There was no significant difference in age, stage and pathological type between the two groups. There was no significant difference in the number of lymph node dissection between laparoscopic surgery group and laparotomy group (P> 0.05). In laparoscopic surgery group, Volume, time of exhaust, postoperative complications, incision infection rate were significantly better than the open group, P <0.05. Conclusion: Laparoscopic approach has the advantages of less trauma and quicker recovery. It can be used in endometrial cancer staging to achieve the same effect as laparotomy and can be used as the first choice of endometrial cancer surgery.