腹腔镜下保留盆腔自主神经广泛性子宫切除术治疗早期宫颈癌疗效和安全性研究  

Effect and safety of laparoscopic NRSH in treating early cervical cancer

作　　者：杨海坤[1] 魏伟锋[1] 曾小倩[1] 吴成勇[1] 湛承华[1] 

机构地区：[1]广东省梅州市人民医院妇产科,广东梅州514003

出　　处：《中国医药科学》2014年第5期67-69,共3页China Medicine And Pharmacy

基　　金：广东省梅州市科技计划项目(2011B63)

摘　　要：目的研究腹腔镜下保留盆腔自主神经广泛性子宫切除术治疗早期宫颈癌的疗效和安全性。方法将早期宫颈癌患者纳入研究并随机分为给予腹腔镜下保留盆腔自主神经广泛性子宫切除术治疗的观察组和腹腔镜下常规广泛性子宫切术治疗的对照组,观察手术相关指标及术后膀胱功能指标。结果两组患者的术中出血量、术后引流量、下床活动时间、住院总时间的差异无统计学意义(P>0.05);观察组的手术时间(155.6±30.4)min、最大排尿量(269.3±30.2)mL多于对照组,排尿次数(13.52±1.86)、残余尿量(63.8±7.24)mL、出现初始尿意(241.5±28.6)mL和强烈尿意时(456.5±51.8)mL的膀胱容量均少于对照组。结论腹腔镜下保留盆腔自主神经广泛性子宫切除术治疗早期宫颈癌安全、有效,能够促进术后膀胱功能的恢复。Objective To study the effect and safety of laparoscopic NRSH in treating early cervical cancer. Methods Early cervical cancer patients were enrolled and randomly divided into observation group given laparoscopic NRSH and control group given laparoscopic CRH. Then operation related index and postoperative bladder function index were observed. Results There were not difference between bleeding volume, drainage volume, bed time, total hospital time of two group; operation time （155.6 ±30.4） min and maximum voided volume （269.3 ± 30.2）mL of observation group were higher than the control group, urination frequency（13.52 ± 1.86）, residual urine volume（63.8 ± 7.24） mL, initialurine （241.5 ± 28.6）mL and strong capacity （456.5 ± 51.8） mL were less than control group. Conclusion Laparoscopic NRSH is safe and effective method for treating early cervical cancer and can promote the recovery of bladder function

关 键 词：宫颈癌 腹腔镜 子宫切除术 盆腔自主神经 

分 类 号：R737.33[医药卫生—肿瘤]