摘要
目的:探讨腹腔镜下保留盆腔自主神经的广泛性子宫切除术治疗早期宫颈癌的安全性及疗效。方法:回顾100例2016年4月—2017年12月早期宫颈癌患者根据手术方法分组。对照组给予腹腔镜辅助下阴式全子宫切除+阴道前后壁修补+阴道残端骶韧带固定术,观察组给予腹腔镜辅助下阴式全子宫切除+阴道前后壁修补+阴道残端高位骶韧带悬吊术。比较两组早期宫颈癌治疗效果;手术过程出血总量、平均住院时间、手术后引流量;手术后患者残余尿量、最大排尿量、有尿意膀胱容量、强烈尿意膀胱容量;并发症情况。结果:观察组早期宫颈癌治疗效果和对照组无显著差异,P> 0.05;观察组手术过程出血总量、平均住院时间、手术后引流量和对照组无显著差异,P> 0.05;手术后观察组残余尿量、最大排尿量、有尿意膀胱容量、强烈尿意膀胱容量优于对照组,P <0.05。观察组并发症和对照组无显著差异,P> 0.05。结论:早期宫颈癌患者行腹腔镜下保留盆腔自主神经的广泛性子宫切除术的治疗及效果确切,可更好保护盆腔功能,对尿流动力学影响更小。
Objective:To explore the safety and efficacy of laparoscopic extensive hysterectomy with pelvic autonomic nerve preservation in the treatment of early cervical cancer.Methods:100 cases of cervical cancer from April 2016 to December 2017 were retrospectively grouped according to surgical methods.The control group was treated with laparoscopic assisted with vaginal total hysterectomy+vaginal wall repair,vaginal stump sacral fixation,the observation group was given laparoscopic assisted with vaginal total hysterectomy+vaginal wall repair,vaginal stump high in sacral ligament suspension.The therapeutic effects of two groups of early cervical cancer,total amount of bleeding during operation,average hospitalization time,postoperative drainage flow and the patient's residual urine volume,maximum urine output,urinary bladder volume and strong urinary bladder volume and complications after surgery were compared.Results:There was no significant difference between the treatment effect of cervical cancer in the observation group and the control group,P>0.05.There were no significant differences between the observation group and the control group in total amount of bleeding during operation,average hospitalization time,postoperative drainage flow,P>0.05.The residual urine volume,maximum urine output,urinary bladder volume and strong urine bladder volume in the observation group after surgery were better than those in the control group,P<0.05.There was no significant difference in complications between the observation group and the control group,P>0.05.Conclusion:Extensive hysterectomy with pelvic autonomic nerves retained under laparoscopy in patients with early cervical cancer had a definite therapeutic effect,which could better protect pelvic function and had less impact on urodynamics.
出处
《中医临床研究》
2018年第27期108-110,共3页
Clinical Journal Of Chinese Medicine
关键词
腹腔镜下保留盆腔自主神经
广泛性子宫切除术
早期宫颈癌
安全性
疗效
Laparoscopic retention of pelvic autonomic nerve
Extensive hysterectomy
Early cervical cancer
Security
The curative effect
