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机构地区:[1]盐城市第一人民医院,江苏盐城224005 [2]盐城卫生职业技术学院,江苏盐城224006
出 处:《现代生物医学进展》2013年第5期914-916,865,共4页Progress in Modern Biomedicine
摘 要:目的:探讨保留盆腔神经功能的根治性子宫切除术治疗宫颈癌的可行性及临床疗效。方法:110例宫颈癌患者作为研究对象,其中观察组60例、对照组50例,对比分析两组手术时间、术中出血量、清扫淋巴结数及术后膀胱功能恢复等。结果:两组患者在术中出血量、术中输血率、手术切除长度、盆腔淋巴结切除个数和腹主动脉淋巴结清扫例数方面的差异均无统计学意义(P>0.05);观察组术后膀胱功能优于对照组(P<0.05);对照组术后排气时间、术后排便时间均比观察组长(P<0.05);两组患者术后尿流动力学方面的差异无统计学意义(P>0.05)。结论:保留盆腔神经功能的根治性子宫切除术技术上安全可行,有利于术后膀胱、直肠功能的恢复。Objective: To explore the feasibility and effect of nerve sparing radical hysterectomy for cervical cancer.Methods: One hundred and ten patients with cervical cancer were selected as subjects,including of 60 patients as observation group and 50 as control group.The duration of surgery,blood loss,the excision extent,numbers of pelvic lymph nodes and aortic lymph nodes resected,and bladder function between two groups.Results: There were no significant deference on blood loss,the excision extent,numbers of pelvic lymph nodes and aortic lymph nodes resected between two groups(P0.05).The bladder function of observation group after surgery was better than that of control group.the first exhaust time and the first stool time of control group were longer than that of observation group(P0.05).There was no significant difference on urodynamic between two groups(P0.05).Conclusion: Nerve sparing radical hysterectomy for cervical cancer is safe and feasible,and can improve the recovery of postoperative bladder and rectum function.
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