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目的 :探讨腹腔镜下保留神经广泛子宫切除术治疗早期宫颈癌的安全性和可行性,并评价术后膀胱功能恢复效果。方法:将2010年6月~2013年10月间80例早期宫颈癌患者分为研究组和对照组;研究组(40例)行腹腔镜下保留盆腔自主神经的广泛子宫切除术(LNSRH),对照组(40例)行腹腔镜下广泛子宫切除术(LRH)。对比分析两组手术时间、术中出血量、宫旁组织切除长度、阴道切除长度、术后膀胱功能恢复等。结果:LNSRH平均手术时间大于LRH组,差异有统计学意义(P<0.05),术中出血、宫旁组织切除长度、阴道切除长度两组差异无统计学意义(P>0.05)。术后拔除尿管平均时间两组比较,差异有统计学意义(P<0.01)。结论:LNSRH治疗早期宫颈癌在技术上是安全、可行的,其手术治疗效果与LRH相当,且明显缩短了术后保留尿管时间,提高了患者术后生存质量。
Objective: To investigate the safety and feasibility of laparoscopic radical hysterectomy for the treatment of early cervical cancer and evaluate the effect of postoperative bladder function recovery. Methods: Eighty patients with early cervical cancer from June 2010 to October 2013 were divided into study group and control group. The study group (40 cases) underwent laparoscopic radical hysterectomy (LNSRH) Control group (40 cases) underwent laparoscopic radical hysterectomy (LRH). The operation time, intraoperative blood loss, parauterum resection length, vaginal resection length and postoperative bladder function recovery were compared between the two groups. Results: The mean operative time of LNSRH was longer than that of LRH group (P <0.05). There was no significant difference between the two groups in intraoperative bleeding, parauterum resection length and vaginal resection length (P> 0.05). The mean duration of postoperative catheter removal was statistically significant (P <0.01). Conclusion: The treatment of early cervical cancer with LNSRH is technically safe and feasible. The surgical treatment of LNSRH is equivalent to that of LRH, and significantly shortens the postoperative retention catheter time and improves the postoperative quality of life.