王艳君



子宫内膜癌的临床病理特点及腹腔镜手术治疗观察

王艳君

【摘要】目的 研究子宫内膜癌的临床病理特点及腹腔镜手术治疗效果。方法 将我院2013年3月～2014年8月收治的90例子宫内膜癌患者按患者编号分为对照组和观察组，每组45例。给予对照组开腹手术治疗，给予观察组腹腔镜手术治疗。分析两组患者的临床病理特点，比较两组手术的相关指标和并发症发生情况。结果 对照组的术中出血量、手术时间、住院时间均高于观察组，差异有统计学意义（P＜0．05）；对照组患者的并发症发生率与观察组患者相比，差异无统计学意义（P＞0．05）；90例患者中腺癌70例，占77．78%。结论 对子宫内膜癌患者实施腹腔镜手术治疗，可以缩短手术时间，减少术中出血量，子宫内膜癌患者的病理类型以腺癌为主。

【关键词】子宫内膜癌；临床病理特点；腹腔镜手术；治疗效果

Objective To study the clinicopathologic characteristics of endometrial cancer and the treatment observation of laparoscopic surgery． Methods To select90 cases of patients with endometrial cancer at our hospital from March，2013 to August，2014，to randomly divided into the treatment group and the control group，each 45 cases． The control group was given laparotomy for treatment，and the treatment group was given laparoscopic surgery for treatment． To analyzed the index of correlation and complication． Results To compared the intraoperatve blood loss，time of operation，hospital stays of the control group and treatment group，there was statistical significance（P＜0．05）． To compared the incidence of complications，there was no statistical significance（P＞0．05）． There were 70 cases of patients with the adenocarcinoma among the 90 cases，that was 77．78%． Conclusion To given the laparoscopic surgery for treatment of the patients with endometrial cancer，that able to significantly shortened the time of operation，reduce the intraoperatve blood loss，the main pathological pattern was adenocarcinoma of the endometrial cancer．

【Key words】Endometrial cancer，Clinicopathologic characteristics，Laparoscopic surgery，Treatment effect

子宫内膜癌是原发于子宫内膜的一种恶性肿瘤［1］。其发病率及病死率不断升高，并且呈年轻化趋势，给广大女性患者的工作和生活带来负面影响［2］。因此，如何安全有效治疗子宫内膜癌，成为临床医师面临的棘手问题［3］。本研究给予45例子宫内膜癌患者腹腔镜手术治疗，治疗效果满意。具体如下。

1 资料与方法

1.1 一般资料

将我院2013年3月～2014年8月收治的90例子宫内膜癌患者按患者编号分为对照组和观察组，每组45例。对照组年龄28～49岁，平均（39.12±7.65）岁；阴道出血38例，其中绝经前出血22例，绝经后出血16例。观察组年龄27～51岁，平均（40.64±8.21）岁；阴道出血40例，其中绝经前出血23例，绝经后出血17例。……