两种不同手术方式治疗早期宫颈癌的手术参数和术后膀胱功能恢复指标的差异  

Differences of Operation Parameters and Indexes of Postoperative Bladder Function Recovery by the 2 Kinds of Surgical Methods in the Treatment of Early Cervical Cancer

作　　者：祝莉 曲丽霞[1] 权丽丽[1] 

机构地区：[1]河南科技大学附属三门峡市中心医院,472000

出　　处：《实用癌症杂志》2017年第10期1688-1691,共4页The Practical Journal of Cancer

摘　　要：目的对比两种不同手术方式治疗早期宫颈癌的手术参数和术后膀胱功能恢复指标差异。方法将124例早期宫颈癌患者分为对照组(行普通腹腔镜下广泛性子宫切除术)和实验组(行腹腔镜下保留盆腔自主神经的广泛性子宫切除术),两组各62例,对比两组手术参数和术后膀胱功能恢复指标的情况。结果两组相关手术参数对比均无明显差异(P均>0.05);实验组术后导管留置时间、腹压排尿、排尿满意率、膀胱功能障碍、尿失禁与尿潴留发生率均显著优于对照组(P均<0.05)。结论相比普通腹腔镜下广泛性子宫切除术,腹腔镜下保留盆腔自主神经的广泛性子宫切除术更能够改善早期宫颈癌患者的膀胱功能,临床疗效更为理想,临床上值得进一步推广和应用。bjective To compare the difference of operation parameters and postoperative indexes of bladder function recovery by the 2 kinds of surgical methods in the treatment of early cervical cancer. Methods 124 cases of early cervical cancer were randomly selected, and divided into the control group underwent general laparnscopic radical hysterectomy and the experi- ment group received laparoscopic nerve-sparing radical hysterectomy, with 62 cases in each group. The operation parameters and index of postoperative bladder function recovery were compared between the 2 groups. Results There were no significant differ- ences on related operation parameters between the two groups （ Pall 〉 0.05 ） ; the postoperative indwelling catheter time, abdomi- nal pressure urination, satisfaction rate of urination, incidence rate of bladder dysfunction, urinary incontinence and urinary reten- tion in the experiment group were significantly better than those of the control group （ Pall 〈 0.05 ）. Conclusion Compared with general laparoscopic radical hysterectomy, laparoscopic nerve-sparing radical hysterectomy can improve the bladder function in pa- tients with early cervical cancer, with better clinical effects, so it is worthy of further promotion and application in clinic.

关 键 词：早期宫颈癌 腹腔镜 广泛性子宫切除术 保留盆腔自主神经 

分 类 号：R737.33[医药卫生—肿瘤]