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目的分析腹腔镜下早期子宫内膜癌分期手术与开腹手术的效果。方法选择本院2014年9月~2015年8月收治的早期子宫内膜癌患者64例为研究对象,根据患者的实际手术方式分为甲组和乙组,各32例。甲组行开腹手术治疗,乙组行腹腔镜下分期手术治疗。对两组患者的手术指标进行观察对比。结果乙组手术出血量、引流量、术后排气时间、住院时间均优于甲组,差异有统计学意义(P<0.05);甲组手术时间(248.3±37.5)min、淋巴结切除数量(19.6±5.2)枚,乙组手术时间(249.2±38.1)min、淋巴结切除数量(18.3±5.0)枚,差异无统计学意义(P>0.05);乙组并发症发生率低于甲组,差异有统计学意义(P<0.05)。结论腹腔镜下分期手术治疗早期子宫内膜癌的创伤小、恢复快,具有较高的应用价值。
Objective To analyze the effect of laparoscopic staging and open surgery of early endometrial cancer. Methods Sixty-four patients with early endometrial cancer who were treated in our hospital from September 2014 to August 2015 were selected and divided into group A and group B according to the actual operation mode of the patients, 32 cases in each group. Group A laparotomy, Group B laparoscopic staging surgery. The two groups of patients with surgical indicators were observed and compared. Results The bleeding volume, drainage volume, postoperative exhaust time and hospital stay in group B were better than those in group A (P <0.05); The operation time in group A (248.3 ± 37.5) min, the number of lymph node resection 19.6 ± 5.2), the operation time of group B was (249.2 ± 38.1) min and the number of lymph node resection was 18.3 ± 5.0, the difference was not statistically significant (P> 0.05); The complication rate of group B was lower than that of group A There was statistical significance (P <0.05). Conclusion Laparoscopic staging for early endometrial cancer has less trauma and faster recovery, which is of high value.