[Objective] To investigate the long-term curative effects of laparoscopic surgery for patienls with stage I and II endometrial cancer in the old. [Methods] Sixty patients with stage I and II endornelrial cancer in the old from Jan. 2004 to Jan. 2009 were divided into 2 groups according to receiving laparoscopic hysterectomy or not: laparoscopic surgery group (34 cases) and open laparotomy group (26 cases). The survival time during long-term follow-up between the two groups was compared. [Results] The incidence of recurrence and distant metastasis were respectively 8.82%, 11.76% and 7.69%, 11.54% in laparoscopic surgery group and open laparotomy group. No significant differences were found in the incidence of recurrence and distant metastasis between open and laparoscopy groups (P >0.05). The total survival rates in 3 years were respectively 88.2%(30/34) and 88.5% (23/26) in laparoscopic surgery group and open laparotomy group. The total survival rates in 5 years were respectively 79.4%(27/34) and 76.9%(20/26)in laparoscopic surgery group and open laparotomy group. The disease-free survival rates in 3 years were respectively 82.4%(28/34) and 80.8%(21/26) in laparoscopic surgery group and open laparotomy group. The disease-free survival rates in 5 years were respectively 70.6% (24/34) and 73.1% (19/26) in laparoscopic surgery group and open laparotomy group. No significant differences were found in the survival rate and disease-free survival between open and laparoscopy groups (P >0.05). [Conclusion] Laparoscopic surgery can achieve the same long-term curative effect as open laparotomy for patients with stage I and II endometrial cancer in old, serves as a better treatment for patients.%目的 探讨腹腔镜手术治疗早期老年子宫内膜癌的远期疗效.方法 选择2004年1月～2009年1月该院妇科收治的早期老年子宫内膜癌患者共60例,按照手术方式将患者分为两组,传统手术组(26倒)与腹腔镜手术组(34例).对两组患者均进行随访,比较2种手术方法的术后远期疗效.结果 随访期间,腹腔镜组患者局部复发3例(8.82％),远处转移4例(11.76％)；开腹组患者局部复发2例(7.69％),远处转移3例(11.54％).腹腔镜组的局部复发率和远处转移率均与开腹组差异无显著性(P＞0.05).腹腔镜组和开腹组3年累积总生存率分别为88.2％(30/34)和88.5％(23/26)；5年累积总生存率分别为79.4％(27/34)和76.9％(20/26).腹腔镜组和开腹组3年无瘤生存率分别为82.4％(28/34)和80.8％(21/26)；5年无瘤生存率分别为70.6％(24/34)和73.1％(19/26).两组总生存率曲线和无瘤生存率曲线相比差异均无显著性(P＞0.05).结论 腹腔镜手术可取得与传统开腹手术相同的远期疗效,是治疗早期老年子宫内膜癌患者的一个很好的选择.
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