摘要
目的分析保留神经的腹腔镜广泛子宫全切术的临床应用效果。方法随机选取该院2014年5月—2015年2月期间收治的60例宫颈癌患者,将所有患者随机分为两组,各30例,对照组采用常规腹腔镜子宫全切术,观察组采用保留神经的腹腔镜子宫全切术,分析比较两组手术情况及手术前后尿流动力学。结果观察组手术时间为(160.3±30.7)min长于对照组(113.2±33.7)min,住院时间为(7.8±1.7)d显著低于对照组(12.6±2.4)d,差异有统计学意义(P<0.05);两组在淋巴结扫清数量、阴道及宫旁切除长度比较中,差异无统计学意义(P>0.05);观察组尿动力学优于对照组,差异有统计学意义(P<0.05)。结论采用保留神经的腹腔镜广泛子宫全切术能够极大程度的保护患者膀胱及其他神经功能,对患者预后的生活不会造成影响,值得在临床应用与推广。
Objective To anaylse the clinical application effect of laparoscopic extensive hysterectomy that nerve-sparing. Methods Random selected 60 cases of patients with cervical cancer at our hospital from the May 2014 to February 2015, to randomly divided into two groups, each 30 cases. The control group was treated by conventional total laparoscopic hysterec-tomy, and the treatment group was treated by laparoscopic extensive hysterectomy that nerve-sparing. Situation and urody-namics before and after surgery were compared operative analysis. Results Observation group operation time was （160.3 ± 30.7） min longer than the control group （113.2 ± 33.7） min, hospital stay was （7.8 ± 1.7） d was significantly lower than the control group （12.6 ± 2.4） d, P 〈0.05 significant difference;To compared the cleared number of lymph gland, resection length of vagina and parametriu m of them, there was no statistical significance （P﹥0.05）. The urodynamics of the treatment group was better than the control group, there was statistical significance （P﹤0.05）. Conclusion That able to great of pro-tecting the bladder and other neurological function by laparoscopic extensive hysterectomy that nerve-sparing, that will not affect the life after prognosis of patients, and worth for promotion and application.
出处
《中外医疗》
2016年第23期41-42,46,共3页
China & Foreign Medical Treatment
