【摘要】 目的评估腹腔镜早期子宫内膜癌全面分期手术术前无机械性肠道准备的安全性和有效性。方法对锦州市妇婴医院2012年1月～2018年6月开展的腹腔镜下早期子宫内膜癌全面分期术进行回顾性研究,将30例术前无机械性肠道准备(NMBP)的患者作为研究组,随机选取30例传统机械性肠道准备的(MBP)同病同期患者作为对照组,收集术中肠胀气、术后并发症、手术时间、术中出血量及术后肛门排气时间、排便时间、进食时间、术后钾离子、术后住院时间等方面数据,利用SPSS 22.0软件对两组数据进行分析处理。结果两组数据在术中肠胀气、术后并发症、手术时间、术中出血量比较,差异无统计学意义(P>0.05),两组在肛门排气时间、排便时间、进食时间、术后钾离子下降程度、术后住院时间方面比较,差异有统计学意义(P<0.05)。结论在早期子宫内膜癌全面分期的腹腔镜手术中,无机械性肠道准备的术前技术革新安全可行,并将继续接受临床实践的检验。更多还原

【Abstract】 Objective To evaluate the safety and efficacy of non-mechanical bowel preparation before laparoscopic comprehensive staging surgery of early endometrial cancer.Methods A retrospective study was conducted on the laparoscopic comprehensive staging surgery of early endometrial cancer in Jinzhou Women and Children’s Hospital from January 2012 to June 2018.30 patients with non-mechanical bowel preparation(NMBP) before surgery were included in the study group.30 patients with traditional mechanical bowel preparation(MBP) and the same disease during the same period were randomly selected as the control group.Data were collected such as intraoperative flatulence,postoperative complications,operation time,intraoperative blood loss and postoperative anal exhaust time,defecation time,eating time,postoperative potassium ion,postoperative hospital stay,etc.The two sets of data were analyzed and processed by SPSS 22.0 software.Results There were no statistically significant differences in intraoperative flatulence,postoperative complications,operation time,and intraoperative blood loss between the two groups(P>0.05).There were statistically significant differences in the anal exhaust time,defecation time,eating time,postoperative potassium ion decline,and postoperative hospital stay between the two groups(P<0.05).Conclusion In the laparoscopic comprehensive staging surgery for early endometrial cancer,the preoperative technical innovation of non-mechanical bowel preparation is safe and feasible,and will continue to be tested in clinical practice.更多还原