摘要
Abstract
Objective:To investigate the clinical effect of laparoscopic surgery for stage Ⅰ endometrial carcinoma.Method:A total of 66 patients with stage Ⅰ endometrial carcinoma who were treated in our hospital from January 2012 to January 2013 were selected.According to the order of admission, they were divided into observation group and control group, 33 cases in each group.The observation group received laparoscopic surgery, while the control group received conventional laparotomy.The duration of operation, intraoperative bleeding, number of lymph node dissection, time of getting out of bed after operation, pelvic drainage, indwelling time of catheter, overall hospitalization time, incidence of complications, recurrence rate and metastasis rate betweenthe two groups were compared.Result:The duration of operation and the number of lymph node dissection in two groups were compared, the differences were not statistically significant (P>0.05).The intraoperative bleeding, time of getting out of bed after operation, pelvic and abdominal drainage, indwelling time of catheter and overall hospitalization time in observation group were better than those of control group, the differences were statistically significant (P<0.05).The incidence of complications was 9.09% in observation group, which was lower than 33.33% in control group (P<0.05).The recurrence rate and metastasis rate in two groups were compared, the differences were not statistically significant (P>0.05).Conclusion:The laparoscopic surgery for stage Ⅰ endometrial cancer patients can effectively ensure the clinical therapeutic effect and reduce the incidence of complications, the clinical value is worthy of affirmation.关键词
腹腔镜手术/传统开腹手术/Ⅰ期子宫内膜癌/淋巴结/复发率Key words
Laparoscopic surgery/Conventional laparotomy/Stage Ⅰ endometrial carcinoma/Lymph node/Recurrence rate