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| Clinical efficacy and safety analysis of laparoscopic assisted vaginal surgery and simple laparoscopic surgery in the treatment of endometrial carcinoma |
| XU Li1 HUANG Si-min2 |
1.Department of Obstetrics and Gynecology,Daliang Hospital of Shunde District of Foshan City in Guangdong Province, Foshan 528300,China;
2.Nanhai People′s Hospital Affiliated to Southern Medical University,Guangdong Province,Foshan 528200,China |
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Abstract ObjectiveTo observe the clinical efficacy and safety of laparoscopic assisted vaginal surgery and simple laparoscopic surgery in the treatment of endometrial carcinoma.Methods86 patients with endometrial carcinoma admitted in our hospital from January 2011 to January 2012 were selected as the study subjects.According to the different methods of operation,the patients were divided into the control group and the observation group,43 cases in each group.The control group was treated with simple laparoscopic surgery,and the observation group was treated with laparoscopic assisted vaginal surgery.The clinical effect and the postoperative complications of the two groups were compared.ResultsThe operation time,intraoperative blood loss,catheter retention time,exhaust time,lymph node clearance number and hospitalization time in the observation group was better than that in the control group,with significant difference(P＜0.05).The incidence rate of postoperative complications in the observation group was 4.65%,which was lower than that of the control group(16.28%),with significant difference(P＜0.05).The survival rate at 1,2,3 years of the observation group(93.02%, 83.72%69.77%)was higher than that of the control group(79.07%,65.12%,48.84%),with significant difference(P＜0.05).ConclusionThe clinical effect of laparoscopic assisted vaginal surgery in the treatment of endometrial carcinoma is superior to that of laparoscopic surgery alone.It has the advantages of small surgical trauma,quick recovery and good safety.It is worthy of clinical promotion and application.
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