Ⅱ型与Ⅲ型保留神经的广泛性全子宫切除术对下尿路功能障碍方面的比较

来源 :世界核心医学期刊文摘(妇产科学分册) | 被引量 : 0次 | 上传用户:suan11111
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Objectives:According to our previous experience,Type III Nerve-sparing Radical hysterectomy (NSRH) for cervical cancer presented an acceptable urologic morbidity,without compromising radicality. The aim of this study was to compare Type NSRH with other types of RH in terms of incidence of early bladder dysfunctions and perioperative complications. Methods:One hundred and ten patients with cervical cancer were submitted to Type II RH (group 1),Type III NSRH (group 2) and Type III RH (group 3). We assessed the postoperative early bladder function and complications. The follow-up period was 3 months. Results:Group 1 had a significantly shorter duration of the surgery,minor mean blood loss and shorter mean length of postoperative stay when compared to groups 2 and 3. No intraoperative complications were reported in either of the groups. The groups did not differ significantly in terms of G III/IV morbidity (group 1 = 10%,group 2 = 10%and group 3 = 15%,χ2,P value:0.65). Not even they differed in terms of urologic GI-IV morbidity (group 1 = 13%,group 2 = 15%and group 3 = 10%,χ2,P value = 0.88). Groups 1 and 2 presented a prompt recover of bladder function,significantly different from that of group 3. There was a significant difference between the groups regarding the number of patients discharged with selfcatheterism (group 1 = 0; group 2 and group 3 = 11; χ2,P value 0.05). Conclusions:The Type III NSRH seems to be comparable to Type II RH and superior to Type III RH in terms of early bladder dysfunctions. Objectives: According to our previous experience, Type III Nerve-sparing Radical hysterectomy (NSRH) for cervical cancer presented an acceptable urologic morbidity, without compromising radicality. The aim of this study was to compare Type NSRH with other types of RH in terms of incidence of early bladder dysfunctions and perioperative complications. Methods: One hundred and ten patients with cervical cancer were submitted to Type II RH (group 1), Type III NSRH (group 2) and Type III RH bladder function and complications. The follow-up period was 3 months. Results: Group 1 had a shorter shorter duration of the surgery, minor mean blood loss and shorter mean length of postoperative stay when compared to groups 2 and 3. No intraoperative complications were reported in either of the groups. The groups did not differ significantly from terms of G III / IV morbidity (group 1 = 10%, group 2 = 10% and group 3 = 15%, χ2, P value: 0.65) they diffe red in terms of urologic GI-IV morbidity (group 1 = 13%, group 2 = 15% and group 3 = 10%, χ2, P value = 0.88). Groups 1 and 2 presented a prompt recover of bladder function, significantly different from that of group 3. There was a significant difference between the groups regarding the number of patients discharged with selfcatheterism (group 1 = 0; group 2 and group 3 = 11; χ2, P value  0.05). Conclusions: The Type III NSRH seems to be comparable to Type II RH and superior to Type III RH in terms of early bladder dysfunctions.
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