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目的探讨保留盆腔自主神经对子宫颈癌根治术的临床意义及对术后并发症的影响。方法将65例行子宫颈癌根治术患者根据有无保留盆腔自主神经,分成保留组(37例)、对照组(28例),并对临床效果进行评价。结果保留组主韧带、宫骶韧带、膀胱宫颈韧带面积比分别为(3.25±2.44)%、(4.08±2.97)%、(1.36±0.32)%,明显小于对照组的(14.68±5.96)%、(16.43±5.92)%、(2.95±0.34)%;保留组并发症发生率为21.62%,明显低于对照组的67.86%;保留组手术时间明显高于对照组,但术后残余尿<100ml、<50ml时间及排气、排便时间均较短,两组各项差异均有统计学意义(P<0.05)。两组患者出血量无统计学意义(P>0.05)。结论保留盆腔自主神经子宫颈癌根治术可减少盆腔神经组织的损伤及术后并发症,缩短住院时间,值得临床推广应用。
Objective To investigate the clinical significance of preserving pelvic autonomic nerve in the radical operation of cervical cancer and its effect on postoperative complications. Methods 65 cases of radical cervical cancer patients were divided into reservation group (n = 37) and control group (n = 28) according to the presence or absence of pelvic autonomic nerve. The clinical effect was evaluated. Results The area ratios of major ligament, uterosacral ligament and bladder cervical ligament were (3.25 ± 2.44)%, (4.08 ± 2.97)% and (1.36 ± 0.32)%, respectively, which were significantly lower than those of the control group (14.68 ± 5.96)%, (16.43 ± 5.92)% and (2.95 ± 0.34)%, respectively. The incidence of complications in the reservation group was 21.62%, which was significantly lower than that in the control group (67.86%). The retention time in the retention group was significantly higher than that in the control group , <50ml time and exhaust, defecation time are shorter, the differences between the two groups were statistically significant (P <0.05). Bleeding volume in both groups was not statistically significant (P> 0.05). Conclusion Radical preservation of pelvic autonomic cervical cancer can reduce the pelvic nerve tissue injury and postoperative complications, shorten the hospital stay, worthy of clinical promotion and application.