The effect of laparoscopy and open surgery in the treatment of early endometrial cancer
腹腔镜与开腹手术治疗早期子宫内膜癌的效果

摘要

目的 探讨腹腔镜与开腹手术治疗早期子宫内膜癌的临床效果。方法 采用抽样调查方法进行研究对象抽样，抽样时间为2016年1月到2021年1月，抽样对象为我院收治的早期子宫内膜癌患者，抽样数量为50，将其中25例患者纳入对照组，剩余25例纳入观察组，分别对两组患者实施开腹手术治疗和腹腔镜手术治疗，收集两组患者的治疗效果、不良反应发生率、术中出血量以及手术时间等信息进行分析。结果 分析完两组患者治疗前后的各项信息后可知，两组患者在接受治疗前的各项身体指标数据基本持平，不存在明显的差别（P＞0.05）；但在各自接受了不同的治疗后，观察组患者临床症状恢复效果显著，其总治疗有效率显著高于对照组，同时观察组患者手术时间也比对照组更低，治疗见效更快（P＜0.05）；并且观察组患者出现不良反应的概率和术中出血量都显著低于对照组（P＜0.05）。结论 与开腹手术治疗相比，腹腔镜治疗早期子宫内膜癌的临床效果更为显著，并且能够有效降低患者术中出血量和不良反应发生率。

Abstract

Objective To investigate the clinical effect of laparoscopy and open surgery in the treatment of early endometrial cancer.
Methods: The sampling survey method was used to sample the research objects. The sampling time was from January 2016 to January 2021. The sampling objects were patients with early-stage endometrial cancer treated in our hospital. The sampling number was 50, and 25 patients were included in the control group. The remaining 25 cases were included in the observation group. The two groups of patients were treated with laparoscopic surgery and laparoscopic surgery, respectively. The treatment effect, incidence of adverse reactions, intraoperative blood loss, and operation time were collected and analyzed.
Results: After analyzing the information of the two groups of patients before and after treatment, it can be seen that the data of various physical indicators of the two groups of patients before treatment were basically the same, and there was no significant difference (P>0.05); After treatment, the clinical symptoms of the observation group had a significant recovery effect, and the total treatment effective rate was significantly higher than that of the control group. At the same time, the operation time of the observation group was shorter than that of the control group, and the treatment effect was faster (P<0.05). The probability of adverse reactions and intraoperative blood loss were significantly lower than those in the control group (P<0.05).
Conclusion  : Compared with open surgery, laparoscopic treatment of early-stage endometrial cancer has a more significant clinical effect, and can effectively reduce the amount of intraoperative blood loss and the incidence of adverse reactions.