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目的探讨腹腔镜手术与腹式手术治疗早期子宫内膜癌的临床疗效。方法 90例早期子宫内膜癌患者,随机分为对照组和观察组,各45例。观察组采取腹腔镜手术治疗,对照组采取腹式手术治疗。对比两组疗效。结果观察组患者的手术时间、术中出血量、肛门排气时间、住院时间分别为(171.46±38.72)min、(211.35±78.69)ml、(1.68±0.62)d、(5.11±1.24)d,对照组分别为(197.24±42.61)min、(378.52±81.72)ml、(2.94±0.83)d、(9.37±1.89)d,观察组均优于对照组(P<0.05)。观察组并发症发生率为6.67%,低于对照组的24.44%(P<0.05)。结论与腹式手术对比,腹腔镜手术在对早期子宫内膜癌患者的治疗中,能够缩短手术时间、减少术中出血量、加速术后恢复,且并发症发生率低。
Objective To investigate the clinical efficacy of laparoscopic surgery and abdominal surgery for early endometrial cancer. Methods 90 cases of early endometrial cancer were randomly divided into control group and observation group, 45 cases in each group. The observation group was treated with laparoscopic surgery and the control group with abdominal surgery. Compare two groups curative effect. Results The operation time, intraoperative blood loss, anal exhaust time and hospital stay in the observation group were (171.46 ± 38.72) min, (211.35 ± 78.69) ml, (1.68 ± 0.62) d, (5.11 ± 1.24) d, The control group were (197.24 ± 42.61) min, (378.52 ± 81.72) ml, (2.94 ± 0.83) d and (9.37 ± 1.89) d respectively. The observation group was better than the control group (P <0.05). The complication rate in observation group was 6.67%, which was lower than that in control group (24.44%, P <0.05). Conclusion Compared with abdominal surgery, laparoscopic surgery in the treatment of patients with early endometrial cancer can shorten the operation time, reduce intraoperative bleeding, accelerate postoperative recovery, and the incidence of complications is low.