论文部分内容阅读
目的:探讨腹腔镜下保留盆腔自主神经的广泛子宫切除术治疗早期宫颈癌的临床价值。方法:选取2012年8月至2015年12月于我院因子宫癌行腹腔镜下广泛子宫切除术的患者,采用随机数字表法将其分为两组,其中保留神经组(A组)21例,行腹腔镜下盆腔淋巴清扫+保留盆腔自主神经的广泛子宫切除术,对照组(B组)23例,行腹腔镜下盆腔淋巴清扫+子宫广泛切除术。比较两组手术时间,术中出血量,手术范围及术后患者膀胱,直肠功能恢复情况。结果:两组术中出血量、切除主韧带、骶韧带宽度及切除阴道壁长度差异无统计学意义(P>0.05)。结论:行腹腔镜下盆腔淋巴清扫+保留盆腔自主神经的广泛子宫切除术作为早期宫颈癌手术治疗方法对改善术后患者尿潴留及肠道功能近期效果良好,远期疗效有待进一步观察。
Objective: To investigate the clinical value of laparoscopic radical hysterectomy for preserving pelvic autonomic nerve in the treatment of early cervical cancer. Methods: From August 2012 to December 2015, patients underwent laparoscopic radical hysterectomy for uterine cancer in our hospital were divided into two groups according to the random number table method, in which the nerve group (group A) 21 Cases, the laparoscopic pelvic lymphadenectomy + retained pelvic autonomic extensive hysterectomy, the control group (B group) 23 cases underwent laparoscopic pelvic lymphadenectomy + extensive hysterectomy. The operation time, intraoperative blood loss, operative range and postoperative recovery of bladder and rectum were compared between the two groups. Results: There was no significant difference between the two groups in the amount of blood loss, the removal of the primary ligament, the width of the sacral ligament and the length of the resected vaginal wall (P> 0.05). Conclusion: Laparoscopic pelvic lymphadenectomy and pelvic autonomic nerve preserving extensive hysterectomy as early cervical cancer surgical treatment of patients with postoperative urinary retention and intestinal function to improve the short-term effect is good, long-term efficacy remains to be further observed.