广泛性全子宫切除术与全子宫加双侧附件切除术对Ⅰ期子宫内膜癌的疗效对比

摘要

目的 对比分析广泛性全子宫切除术与全子宫加双侧附件切除术对Ⅰ期子宫内膜癌的疗效.方法 选择Ⅰ期子宫内膜癌患者80例,按照手术治疗方法的不同分为对照组和观察组.对照组采用广泛性全子宫切除术,观察组采用全子宫加双侧附件切除术,比较2组的治疗效果.结果 观察组的术中出血量和手术时间均明显低于对照组(P＜0.05).观察组的术后并发症发生率为10.00％(6/60),明显低于对照组的25.00％ (5/20)(P＜0.05).2组的术后复发率及3年生存率相比无明显差异(P＞0.05).结论 与广泛性全子宫切除术相比,全子宫加双附件切除术能有效减少Ⅰ期子宫内膜癌患者的术中出血量,缩短手术时间,并且降低术后的并发症发生率,具有较好的手术治疗效果.%Objective To compare the efficacy of radical hysterectomy and total hysterectomy with bilateral accessory for stage Ⅰ endometrial carcinoma.Methods 80 cases of patients with stage Ⅰ endometrial carcinoma were divided into 2 groups randomly.The control group was treated with radical hysterectomy,the observation group was treated with total hysterectomy with bilateral accessory,and the efficacy was compared between the 2 groups.Results The amount of bleeding and operation time in the observation group were significantly lower than those of the control group (P ＜ 0.05);the postoperative complication rate of the observation group was 10.00％ (6/60),which was significantly lower than that of the control group,25.00％ (5/20) (P ＜0.05);there was no significant difference in recurrence rates and 3-year survival rates between the 2 groups (P ＞ 0.05).Conclusion The total hysterectomy with bilateral accessory can effectively reduce the amount of bleeding in patients with stage Ⅰ endometrial carcinoma during operation,shorten the operation time,and reduce the incidence of postoperative complications,it has a better therapeutic effect.