NSRH与RH两种术式安全性及术后恢复对比的Meta分析  

Nerve Sparing Radical Hysterectomy and Tradition Radical Hysterectomy:A Meta-analysis of Security and Postoperative Recovery

作　　者：张岚[1] 

机构地区：[1]安徽省芜湖市第二人民医院,安徽芜湖241001

出　　处：《实用妇产科杂志》2013年第4期294-298,共5页Journal of Practical Obstetrics and Gynecology

摘　　要：目的:比较保留盆腔自主神经的根治性子宫切除术(NSRH)与传统根治性子宫切除术(RH)的手术安全性、术后恢复情况,探讨NSRH术式的临床应用价值。方法:检索中国知网全文数据库和万方数据库,纳入5个关于NSRH及传统RH临床观察的随机对照实验,评价纳入研究的方法学质量并在资料提取后,采用RevM Van4.2软件进行Meta分析。结果:NSRH相对传统RH而言,手术时间及术中出血量有所增加,但术后患者膀胱功能及直肠功能恢复均明显优于传统RH。结论:NSRH能减轻宫颈癌患者术后并发症,提高患者的生存质量,但其在手术技巧、操作熟练程度、避免出血等方面仍需进一步改进。Objective：To compare the security and postoperative recovery between never sparing radical hysterectomy（NSRH） and radical hysterectomy（RH） for cervical cancer and to discuss the clinical applica- tive value of NSRH. Methods,To search the CNKI and WanFang database and bring into five randomizes controlled trails（RCTs） comparing the security and postoperative recovery of NSRH and RH. The quality of the included trials was critically appraised. The related data was retrieved from the 5 RCTs, and RevMan 4.2 software was used for statistical analyses. Resu!lts：Compared to the RH group,the NSRH group had signifi- cant better postoperative recovery in anorectal and bladder functions , but longer operation time and more blood loss. Conclusions.NSRH is a safe and feasible technique which can be conducive to bladder and rec- tum function recovery. But it also needs improvement on the surgical skills and avoiding bleeding.

关 键 词：盆腔自主神经 根治性子宫切除术 宫颈癌 META分析 

分 类 号：R713.42[医药卫生—妇产科学]