摘要
目的:探索PiverⅢ型根治性子宫切除术中输尿管隧道的处理方法。方法:选择2008年6月至2010年6月182例Ⅰb及Ⅱa期宫颈癌患者,其中89例按PiverⅢ型根治性子宫切除术改良输尿管处理方法进行手术(研究组),93例按常规的PiverⅢ型根治性子宫切除术(对照组)。比较两组术后输尿管损伤及宫旁切除范围情况、手术时间及术中出血情况。结果:研究组患者无术后输尿管损伤发生,对照组为0.02%(2/93),两组比较,差异有统计学意义(P<0.05);研究组手术时间为(110±21)min,对照组为(128±13)min,两组比较差异有统计学意义(P<0.05);研究组术中出血量为(257±23)mL,对照组为(284±43)mL,两组比较差异有统计学意义(P<0.05);研究组切除宫旁范围为(3.6±0.3)cm,对照组为(3.4±0.5)cm,两组比较差异无统计学意义(P=0.769)。结论:PiverⅢ型根治性子宫切除术中改良的输尿管隧道处理方法可减少输尿管损伤,缩短手术时间,减少手术出血量,其手术技巧的改进是可行有效的。
Objective：To explore the treatment methods of ureter tunnel in Piver Ⅲ radical hysterectomy.Methods：One hundred and eighty-two patients with cervical cancer of stages Ib and IIa were all selected from June 2008 to June 2010.Eighty-nine cases underwent the modified ureter tunnel by Piver Ⅲ radical hysterectomy（a study group） and 93 cases underwent it by regular Piver Ⅲ radical hysterectomy（a control group）among 182 cases to compare the status of postoperative ureter injuries and paracervical excision range,operation time and the intraoperative bleeding in the two groups.Results：Comparing with the control group,there was no incidence of postoperative ureter injuries of the patients in the study group and that in the control group was 0.02%（2/93）.There was significant difference comparing between the two groups（P0.05）.The operation time in the study group was（110±21）min and that in the control group was（128±13）min.There was significant difference comparing between the two groups（P0.05）.The intraoperative amount of bleeding in the study group was（257±23）mL and that in the control group was（284±43）mL.There was significant difference comparing between the two groups（P0.05）.The paracervical excision range in the study group was（3.6±0.3）cm and that in the control group was（3.4±0.5）cm.There was no significant difference comparing between the two groups（P=0.769）.Conclusion：The treatment methods of modified ureter tunnel in Piver Ⅲ radical hysterectomy could decrease the ureter tunnel injuries,shorten the operation time and reduce the amount of bleeding of operation effectively.The improvement of the surgical technique is effective and feasible for the patients with cervical cancer.
出处
《山西职工医学院学报》
CAS
2011年第2期3-5,共3页
Journal of Shanxi Medical College for Continuing Education
