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目的探讨腹腔镜全面分期手术用于Ⅰ、Ⅱ期子宫内膜癌患者的安全性和有效性。方法选取Ⅰ、Ⅱ期子宫内膜癌患者75例,其中腹腔镜手术35例(腹腔镜组),经腹手术40例(对照组),回顾性分析患者的临床资料及治疗效果。结果腹腔镜组术中出血少,术后恢复排气时间短,术后住院时间短,与对照组比较,差异有统计学意义(P<0.05);两组手术淋巴结清除数方面差异无统计学意义(P>0.05)。结论腹腔镜全面分期手术对Ⅰ、Ⅱ期子宫内膜癌患者具有良好的安全性和有效性。
Objective To investigate the safety and efficacy of laparoscopic total staging in patients with stage Ⅰ and Ⅱ endometrial cancer. Methods Seventy-five patients with stage I and II endometrial cancer were selected, including 35 cases of laparoscopic surgery (laparoscopic group) and 40 cases of abdominal surgery (control group). The clinical data and therapeutic effect were retrospectively analyzed. Results The laparoscopic group showed less bleeding, shorter postoperative recovery exhaust time and shorter postoperative hospital stay, compared with the control group (P <0.05). There was no significant difference in the number of lymph node dissection between the two groups Significance (P> 0.05). Conclusions Laparoscopic total staging surgery has good safety and efficacy for patients with stage Ⅰ and Ⅱ endometrial cancer.