《中国康复理论与实践》

《中国康复理论与实践》 ›› 2008, Vol. 14 ›› Issue (06): 580-581.

• 临床研究 • 上一篇    下一篇

早期子宫内膜癌微创术疗效及患者满意度调查

翟建军1; 任海颖1; 张毅2; 吕秋波2   

  1. 1.首都医科大学附属北京同仁医院妇产科,北京市 100005;2.卫生部北京医院妇产科,北京市 100730
  • 收稿日期:2007-12-18 出版日期:2008-06-01 发布日期:2008-06-01

Effect of Minimally Invasive Operation on Early Endometrial Carcinoma and Level of Patients' Satisfaction

ZHAI Jian-jun, REN Hai-ying, ZHANG Yi, et al.   

  1. The Department of Obstetrics and Gynecology, Beijing Tongren Hospital, Capital Medical Uni versity, Beijing 100005, China
  • Received:2007-12-18 Published:2008-06-01 Online:2008-06-01

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被引次数

3

摘要： 目的探讨腹腔镜手术联合阴式子宫切除治疗早期子宫内膜癌的临床效果及患者满意度。方法回顾性分析77例早期子宫内膜癌患者的资料,其中腹腔镜组35例、开腹组42例,比较两组患者手术时间、术中出血量、手术并发症、术后肠道功能恢复时间及平均住院时间,以及治疗过程满意度的差异。结果两组患者均未发生严重并发症。腹腔镜组的手术时间明显长于开腹组(P<0.01),但术中出血量、术后肠道功能恢复、平均术后住院时间、术后患者满意度、围手术期疼痛及腹部伤口外观等均明显好于开腹组(P<0.01)。两组患者均达到淋巴清除彻底,术后尿潴留发生率差异无显著性意义(P>005)。开腹组患者术后抑郁评分明显高于腹腔镜组(P<0.01)。结论腹腔镜手术时间虽然稍长,但具有微创、术中出血量少、患者满意度高、术后生活质量高等优点,手术彻底性与开腹手术相比无显著性差异。

关键词: 子宫内膜癌, 腹腔镜盆腔淋巴清扫术, 阴式子宫切除术, 腹式子宫切除术, 微创手术, 术后康复

Abstract: Objective To study laparoscopic pelvic lymphyectomy combined with vaginal hystectomy in the treatment of patients with stage Ⅰ endometrial carcinoma.Methods The data of 77 patients with stage Ⅰ endometrial carcinoma were reviewed retrospectively. These patients divided into the laparoscopic group and abdominal group according to the operation style. The operation time, blood loss, postoperation complication, rehabilition of the digestion tract, satisfaction degree to the operation of two groups were compared.Results There was no serious complications in the both groups. In the laparoscopic group, the operation time was longer than the abdominal group ( P<0.01), but so far as to the blood loss, the time of rehabilition of the digestion tract, the number of lymphyectomy, the postoperation pain alleviation and the degree of postoperation depression were superior to the abdominal group ( P<0.01).Conclusion Though the Laparoscopic operation takes longer time than the abdominal operation, it has much more advantage: mimimal blood loss, minimal abdominal scar, rapid postoperation rehabilition, much better pain alleviate, less urine retention.

Key words: endometrial carcinoma, laparoscopic pelvic lymphyectmy, vaginal hystectomy (TVH), abdominal hysterectomy (TAH), minimally invasive surgery, postoperation rehabilition