机器人辅助腹腔镜下自主神经保留的广泛子宫切除术在宫颈癌治疗中的应用  

Application of robot-assisted laparoscopic nerve-sparing radical hysterectomy in the treatment of cervical cancer

作　　者：李婉 张俊梅 扈文娟 马学敏 LI Wan;ZHANG Junmei;HU Wenjuan;MA Xuemin(Department of Obstetrics and Gynecology,Northwest Women’s and Children’s Hospital,Xi’an 710061,China)

机构地区：[1]西北妇女儿童医院妇科,陕西西安710061

出　　处：《机器人外科学杂志(中英文)》2025年第4期644-648,共5页Chinese Journal of Robotic Surgery

基　　金：陕西省重点研发计划项目(2019SF-158)。

摘　　要：目的:探讨机器人辅助腹腔镜下自主神经保留的广泛子宫切除术(LNSRH)在宫颈癌治疗中的应用及其对患者尿动力学参数和生活质量的影响。方法:选取2021年1月—2024年10月西北妇女儿童医院收治的80例宫颈癌患者作为研究对象。根据手术方法的不同将其分为对照组和观察组,每组40例。对照组行传统腹腔镜下广泛全子宫切除术,观察组行机器人辅助LNSRH。比较两组患者的手术指标、尿动力学参数、生活质量及并发症发生率。结果:两组的手术时间、淋巴结清扫数目及术中出血量相比,差异无统计学意义(P>0.05);观察组术后保留尿管时间、残余尿量、并发症总发生率显著低于对照组(P<0.05);观察组膀胱容量、最大尿道压显著高于对照组(P<0.05);观察组生理状况、情感状况、功能状况及社会状况评分显著高于对照组(P<0.05)。结论:机器人辅助LNSRH能改善宫颈癌患者的尿动力学参数,提高其生活质量,减少并发症发生。Objective:To explore the application of robot-assisted laparoscopic nerve-sparing radical hysterectomy(LNSRH)in the treatment of cervical cancer and its effect on patients’urodynamic parameters and quality of life.Methods:80 cervical cancer patients in Northwest Women’s and Children’s Hospital from January 2021 to October 2024 were selected.They were divided into the control group(laparoscopic radical hysterectomy,n=40)and the observation group(robot-assisted LNSRH,n=40)according to different surgical procedures.Surgical indicators,urodynamic parameters,quality of life,and incidence of complications were compared between the two groups of patients.Results:No statistically significant difference was observed between the two groups in terms of operative time,lymph node dissection,and intraoperative blood loss(P>0.05).Compared to the control group,the observation group had lower postoperative urinary catheter retention time,residual urine volume,and total incidence rate of complications(P<0.05),but higher bladder capacity and maximum urethral pressure(P<0.05).The scores of physical,emotional,functional and social conditions in the observation group were significantly higher than those in the control group(P<0.05).Conclusion:Robot-assisted LNSRH is effective in improving urodynamic parameters,enhancing quality of life,and decreasing the incidence of complications in patients with cervical cancer.

关 键 词：机器人辅助腹腔镜手术 自主神经保留的广泛子宫切除术 宫颈癌 尿动力学 生活质量 

分 类 号：R713.4[医药卫生—妇产科学] R737.33[医药卫生—临床医学]