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目的:对I期子宫内膜癌不同术式的疗效及其术后并发症进行比较分析。方法:回顾性分析1990年1月~2000年12月手术治疗的I期子宫内膜癌168例,根据术式不同分为两组,70例采用全宫加双附件切除术(1组),98例采用广泛性子宫切除术(2组),对两组有高危因素的患者选择性行淋巴结清扫术,对两组的疗效及术后并发症进行比较分析。结果:1组和2组5年生存率分别为95%、93.4%,两组比较差异无显著性(P>0.05);复发率分别为5.7%、9.2%。两组比较差异无显著性(P>0.05)。术后并发症分别为10%、26.5%,两组比较差异有显著性(P<0.05)。有无清扫淋巴结对预后无明显影响。结论:I期子宫内膜癌患者可以采用全宫加双附件切除术。
Objective: To compare the efficacy of different surgical procedures for stage I endometrial cancer and its postoperative complications. Methods: A retrospective analysis of 168 cases of stage I endometrial cancer undergoing surgical treatment between January 1990 and December 2000 was divided into two groups according to different surgical procedures. All patients underwent total hysterectomy (group 1) Ninety-eight patients underwent radical hysterectomy (two groups). Two groups of patients with high risk factors were selected for lymph node dissection. The curative effect and postoperative complications of the two groups were compared. Results: The 5-year survival rates of Group 1 and Group 2 were 95% and 93.4% respectively, with no significant difference between the two groups (P> 0.05). The recurrence rates were 5.7% and 9.2% respectively. There was no significant difference between the two groups (P> 0.05). Postoperative complications were 10% and 26.5% respectively, with significant difference between the two groups (P <0.05). No lymph node dissection had no significant effect on prognosis. Conclusion: I stage endometrial cancer patients can use the whole house plus double attachment resection.