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作 者:张亚男 卢秋阳 周宇 郭春霞 Zhang Ya-nan;Lu Qiu-yang;Zhou Yu;Guo Chun-xia(Department of Gynecology,Hongqi Hospital Affiliated to Mudanjiang Medical College,Mudanjiang 157011,China)
机构地区:[1]牡丹江医学院附属红旗医院妇科,黑龙江牡丹江157011
出 处:《医学食疗与健康》2021年第22期16-18,共3页Medical Diet and Health
基 金:黑龙江省卫生计生委科研课题(2017-341)。
摘 要:目的:探讨腹腔镜下保留盆腔神经广泛子宫切除术(LNSRH)对患者膀胱、直肠肛门、性功能的影响。方法:以符合要求的60例子宫内膜癌患者作为研究对象,随机分组分为LNSRH组30例及腹腔镜下广泛子宫切除术(LRH)组30例,将患者术中术后情况及膀胱、直肠肛门功能、性功能恢复情况等各项指标进行对比。结果:两组患者均顺利完成腹腔镜下的手术操作,术中均无发生输尿管损伤、肠管损伤等严重并发症,对比LRH组,LNSRH组手术时间长,出血量少,住院时间短,术后发生膀胱、直肠肛门、性功能异常发生率低(P<0.05)。结论:LNSRH的广泛子宫切除术有助于减少术后后膀胱、直肠肛门、性功能障碍的发生率,可以提高患者术后生活质量。Objective:To investigate the effect of laparoscopic Pelvic nerve-preserving extensive hysterectomy(LNSRH on the bladder,rectum and anus,and sexual function of Patients.Methods:Sixty patients with endometrial cancer who meet the requirements were selected as the research objects.They were randomly divided into laparoscopic extensive pelvic nerve-sparing hysterectomy(LNSRH)group 30 cases and laparoscopic extensive hysterectomy(LRH)group 30 cases,compare the patient’s intraoperative and postoperative conditions,bladder,rectal and anal function,and sexual function recovery.Results:The two groups of patients successfully completed the laparoscopic operation,and there were no serious complications such as ureteral injury and intestinal injury during the operation.Compared with the LRH group,the LNSRH group had a long operation time,less bleeding,and a short hospital stay.The incidence of abnormalities in bladder,rectum and anus,and sexual function was low(P<0.05).Conclusion:Laparoscopic extensive hysterectomy with pelvic nerve preservation can help reduce the incidence of bladder,rectum and anus,and sexual dysfunction after surgery,and can improve the quality of life of patients after surgery.
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