腹腔镜辅助阴式手术治疗子宫内膜癌的疗效观察

目的探讨腹腔镜辅助阴式手术治疗子宫内膜癌的临床疗效及安全性。方法将符合标准的60例子宫内膜癌患者采用随机数字表法分为观察组和对照组各30例，观察组应用腹腔镜辅助阴武手术治疗，对照组采用传统开腹治疗，比较两组临床疗效及并发症。结果观察组在手术时间、术中出血量、术后肛门排气时间、留置导尿时间和住院时间等方面，均优于对照组，差异有统计学意义（P〈0．05）。两组在淋巴结清除数目、术后1年内复发率、无瘤生存率及总生存率等方面比较差异均无统计学意义（P〉0．05）。观察组术后并发症发生率10．00％，低于对照组的30．00％，差异有统计学意义（P〈0．05）。结论腹腔镜辅助阴式手术治疗子宫内膜癌具有手术时间短、术中出血少及术后恢复快等优势，1年内临床疗效与传统开腹治疗相当，是子宫内膜癌手术治疗的理想方式之一。

The clinical therapeutic effects of laparoscope-assisted trans-vaginal surgery in treatment ofendometrial cancer

Objective To investigate the clinical therapeutic effects and safety of laparoscope-assisted trans-vaginal surgery in treatment of endometrial cancer. Methods Sixty patients who met the criteria were selected and randomly divided into observation and control groups,30 patients in each group. The observation group was treated with the laparoscope-assisted trans-vaginal surgery while the control group treated with traditional laparotomy. The clinical therapeutic effects and complications between the two groups were com- pared. Results The operative time, the intra-operative blood loss, the postoperative time of passage of gas by anus, the urethral catheter maintenance time and the length of hospital stay in the observation group were all better than that in the control group（ all P 〈 0. 05）. There was no significant difference in cleared lymph node numbers, recurrence rates within 1 year after the surgeries, disease free sur- vivals and total survival rates between the two groups. The postoperative complication incidence in the observation group was 10. 00% , which was significantly lower than that in the control group （30.00%） （ P 〈 0. 05 ）. Conclusion Laparoscope-assisted trans-vaginal surgery in treatment of endometrial cancer has advantages of shorter operative time,less intra-operative blood loss and rapider postopera- tive recovery. The technique has an equivalent clinical therapeutic effect to traditional laparotomy within 1 year after surgery. Conse- quently, it is an ideal surgical method for treatment of endometrial cancer.