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腹腔镜手术治疗早期子宫内膜癌的临床效果评价

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目的 探索腹腔镜手术治疗早期子宫内膜癌(EC)的临床效果.方法 选择 60 例早期子宫内膜癌患者,均采取腹腔镜手术治疗.分析患者恢复指标(盆腹腔引流量、手术时间、下床活动时间、肛门排气时间、术后住院时间)、术后疼痛评分、术后并发症发生率,并比较患者手术前后的生存质量评分.结果 患者的盆腹腔引流量为(305.25±21.66)ml,手术时间为(150.24±15.33)min,下床活动时间为(23.36±1.88)h,肛门排气时间为(27.26±5.14)h,术后住院时间为(7.25±1.25)d.术后视觉模拟评分法(VAS)评分为(1.36±0.25)分.患者术后有 1 例发生下肢静脉血栓,并发症发生率为 1.67%.患者术后心理功能、躯体功能、社会功能、物质生活评分分别为(93.21±3.21)、(94.10±3.52)、(94.25±4.21)、(94.19±4.51)分,显著高于术前的(62.56±2.91)、(60.22±2.10)、(63.56±2.01)、(69.25±3.18)分,差异有统计学意义(P<0.05).结论 早期子宫内膜癌患者实施腹腔镜手术治疗效果确切.
Evaluation on clinical effect of laparoscopic surgery for early endometrial cancer
Objective To explore the clinical effect of laparoscopic surgery for early endometrial cancer(EC).Methods 60 patients with early endometrial cancer were selected,all of whom underwent laparoscopic surgery for treatment.The recovery indicators(pelvic and abdominal drainage volume,surgery time,ambulation time,anal exhaust time,and postoperative hospitalization time),postoperative pain score,and incidence of postoperative complications were analyzed,and the quality of life score before and after surgery were compared.Results The pelvic and abdominal drainage volume of the patient was(305.25±21.66)ml,the surgery time was(150.24±15.33)min,the ambulation time was(23.36±1.88)h,the anal exhaust time was(27.26±5.14)h,the postoperative hospitalization time was(7.25±1.25)d,and the postoperative visual analogue scale(VAS)score was(1.36±0.25)points.1 patient developed lower extremity venous thrombosis after surgery,and the complication rate was 1.67%.After surgery,the scores of psychological function,physical function,social function and material life of the patients were(93.21±3.21),(94.10±3.52),(94.25±4.21)and(94.19±4.51)points,which were significantly higher than(62.56±2.91),(60.22±2.10),(63.56±2.01)and(69.25±3.18)points before surgery,and the difference was statistically significant(P<0.05).Conclusion Laparoscopic surgery is effective for patients with early endometrial cancer.

Laparoscopic surgeryEarly endometrial cancerClinical value

彭丹

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512029 韶关市妇幼保健院

腹腔镜手术 早期子宫内膜癌 临床价值

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(20)