【摘要】 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 1986年 1月至 1997年 12月手术治疗的 2 11例Ⅰ期子宫内膜癌 ,根据术式不同分为两组 ,61例采用全子宫加双侧附件切除术 (组 1) ,150例采用广泛性全子宫切除术 (组 2 )。对两组的疗效及术后并发症进行比较分析。结果　组 1和组 2总的 5年生存率分别为 96 0 %、93 5% ,两组比较 ,差异无显著性 (P >0 0 5) ;复发率分别为 6 6%、10 7% ,两组比较 ,差异无显著性 (P >0 0 5) ;术后并发症分别为 11 5%、2 4 7% ,两组比较 ,差异有显著性 (P <0 0 5)。结论　Ⅰ期子宫内膜癌患者可以采用全子宫加双侧附件切除术更多还原

【Abstract】 ObjectiveTo compare the outcomes and the risk of post-operative complications in patients with stage Ⅰ endometrial carcinoma who were treated with different surgeries MethodsA total of 211 cases with stage Ⅰ endometrial cancer treated with surgery in our Cancer Center from Jan 1986 to Dec 1997 were analyzed retrospectively Sixty-one patients (group 1) underwent simple hysterectomy and salpingo-oophorectomy and 150 patients (group 2) underwent radical hysterectomy The 5-year survival rates and the risk of post-operative complications were compared between two groups ResultsFive-year survival rates of the group 1 and 2 were 96 0% and 93 5% (P>0 05), respectively The recurrence rates of the two groups were 6 6% and 10 7% (P>0 05), respectively The overall rates of post-operative complications in the two groups were 11 5% and 24 7%(P<0 05), respectively.ConclusionThe patients with stage Ⅰ endometrial carcinoma who were treated with simple hysterectomy and salpingo-oophorectomy did almost as well as those who underwent radical hysterectomy更多还原