摘要
目的研究腹腔镜手术治疗Ⅰ期子宫内膜癌患者的预后情况。方法将80例Ⅰ期子宫内膜癌患者随机分为2组。对照组采用传统开腹手术治疗,观察组采用腹腔镜手术治疗。观察2组不同病理分级、临床亚分期患者的半数生存时间和生存率。结果临床亚分期为Ⅰa期患者的半数及平均生存时间明显高于Ⅰb期和Ⅰc期患者(P<0.05),且Ⅰb期明显高于Ⅰc期(P<0.05)。对照组死亡3例,生存率为92.50%(37/40);观察组死亡2例,生存率为95.00%(38/40);2组患者的生存率相比无明显差异(P>0.05)。观察组病理分级G_1级和临床亚分期Ⅰa期患者的半数生存时间均明显高于对照组(P<0.05)。结论对于病理分级G_1级和临床亚分期Ⅰa期的子宫内膜癌患者,采用腹腔镜手术治疗可以有效增加术后生存时间,改善预后情况。
Objective To investigate the prognosis of patients with stage Ⅰ endometrial cancer treated by laparoscopic surgery. Methods Selected 80 cases of patients with stage Ⅰ endometrial cancer were divided into 2 groups randomly. The control group was treated with conventional open surgery, and the observation group was treated with laparoscopic operation. The median survival time and survival rate of patients with different pathological grades and clinical stages were observed. Results The median and mean survival time of patients with stage Ⅰ a were significantly higher than those of stage Ⅰ b and Ⅰ c patients （P 〈 0.05 ）, and stage Ⅰ b was significantly higher than that of stage Ⅰ c （ P 〈 0.05） ; the control group had 3 cases of death, the survival rate was 92.50% （37/40） ;observation group had 2 cases of death,the survival rate was 95.00% （38/40） ;the survival rate of the 2 groups had no significant difference （P 〉0.05） ;the survival time of stage G1 and stage Ⅰ a patients in the observation group were significantly higher than the control group （P 〈 0.05）. Conclusion For endometrial cancer patients with stage G1 and stage Ⅰ a,laparoscopic surgery can effectively increase the survival time and improve the prognosis.
出处
《实用癌症杂志》
2017年第5期814-816,共3页
The Practical Journal of Cancer
关键词
腹腔镜手术
开腹手术
子宫内膜癌
预后
Laparoscopic operation
Laparotomy
Endometrial cancer
Prognosis
