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目的探究早期子宫内膜癌患者行腹腔镜手术治疗的临床疗效及对术后性功能的影响。方法选择2013年3月至2015年7月于灌云县中医院妇科住院治疗的90例早期子宫内膜癌患者为研究对象,45例采用腹腔镜手术治疗为观察组,45例采用传统开腹手术治疗为对照组,比较两组的临床疗效及术后性功能变化情况。结果两组患者手术时间及术中淋巴结清扫数量差异无统计学意义(P>0.05);观察组患者术后肛门排气时间[(32.19±3.27)h]、下床活动时间[(51.45±6.76)h]、住院时间[(9.89±2.17)d]、术中出血量[(307.82±87.96)m L]、术后盆腹腔引流量[(478.94±65.43)m L]及并发症发生率(6.67%)均少于对照组[(52.34±5.47)h、(92.29±12.34)h、(13.23±2.89)d、(594.37±125.68)m L、(795.66±78.32)m L、26.67%],(P<0.05)。两组患者术前性功能评分相近(P>0.05);观察组患者术后6个月性功能评分与术前相近(P>0.05);对照组患者术后6个月性功能评分低于术前(P<0.05)。结论早期子宫内膜癌采用腹腔镜手术治疗具有创伤小、术后恢复快、减少并发症的发生以及对患者术后性功能影响小等优点,值得临床推广应用。
Objective To investigate the clinical efficacy of laparoscopic surgery in patients with early endometrial cancer and its effect on postoperative sexual function. Methods From March 2013 to July 2015, 90 patients with early endometrial cancer undergoing gynecological hospitalization in Guanyun Hospital of Traditional Chinese Medicine were enrolled. 45 patients underwent laparoscopic surgery and 45 underwent conventional laparotomy Surgical treatment for the control group, comparing the clinical efficacy and postoperative changes in sexual function. Results There was no significant difference in operative time and the number of lymph node dissection between the two groups (P> 0.05). The anal exhaust time [(32.19 ± 3.27) h] and ambulation time [(51.45 ± 6.76) h ), length of stay [(9.89 ± 2.17) d], intraoperative blood loss [(307.82 ± 87.96) m L], postoperative pelvic drainage [478.94 ± 65.43 m L], and incidence of complications 6.67%) were less than those in the control group [(52.34 ± 5.47) h, (92.29 ± 12.34) h, (13.23 ± 2.89) d, (594.37 ± 125.68) m L, (795.66 ± 78.32) m L, 26.67% (P <0.05). The scores of sexual function before and after surgery in the two groups were similar (P> 0.05). The scores of sexual function at 6 months after operation in the observation group were similar to those before operation (P> 0.05) Before (P <0.05). Conclusion Early endometrial cancer with laparoscopic surgery has the advantages of less trauma, faster recovery, less complications and less impact on postoperative sexual function, which is worthy of clinical application.