摘要
目的分析腹腔镜下保留盆腔自主神经的宫颈癌根治术与传统经腹根治术两种手术方式的疗效。方法本文所选392例接受根治性子宫切除术治疗的宫颈癌患者均为我院2012年12月～2017年12月所收治,按照患者自愿将其随机分成两组,将其中194例接受传统经腹根治术治疗的患者作为对照组,将其中198例接受腹腔镜下保留盆腔自主神经的宫颈癌根治术的患者作为实验组,对比分析两组的临床疗效。结果在手术时间方面,实验组显著长于对照组(P<0.05);而在阴道切除长度、宫旁切除长度以及术中出血量方面,两组比较差异无统计学意义(P>0.05)。在拔除尿管时间、术后排便时间以及术后排气时间方面,实验组均显著短于对照组(P<0.05)。两组患者均没有发生膀胱、输尿管等损伤,术后两组患者均没有发生尿瘘等相关并发症,不存在病理组织残留;而在腹部伤口感染率方面,实验组则显著低于对照组(P<0.05)。结论在对宫颈癌患者进行治疗时,采用腹腔镜下保留盆腔自主神经的宫颈癌根治术治疗能取得比较理想的疗效,能促进恢复患者的直肠和膀胱功能,腹部伤口感染率低,而且具有较高的安全性,具有临床应用价值。
Objective To analyze the curative effect of laparoscopic cervical cancer radical surgery with pelvic autonomic nerve preservation and traditional transabdominal radical surgery. Methods 392 patients with cervical cancer who underwent radical hysterectomy in our hospital from December 2012 to December 2017 were admitted. They were randomly divided into two groups according to the patients’ will. And 194 of them who underwent traditional transabdominal radical surgery were set as the control group. 198 patients who underwent laparoscopic radical resection of cervical cancer with pelvic autonomic nerve preservation were used as experimental group. The clinical effects of the two groups were compared. Results The operation time of the experimental group was significantly longer than that of the control group(P<0.05). There was no significant difference between the control group and the experimental group in terms of length of vaginal resection, length of parametrial resection and intraoperative blood loss(P>0.05). The time of removal of the catheter, postoperative defecation time and postoperative exhaust time in the experimental group was significantly shorter than that of the control group(P<0.05). There were no bladder or ureteral injuries in the two groups.There were no complications such as urinary fistula and no residual pathological tissue in the two groups after surgery.The abdominal wound infection rate of the experimental group was significantly lower than that of the control group(P<0.05). Conclusion In the treatment of patients with cervical cancer, laparoscopic cervical cancer radical surgery with pelvic autonomic nerve preservation can achieve ideal results, which can promote the recovery of rectal and bladder function, with low abdominal infection rate and high safety, and has clinical application value.
作者
邱伍英
赖燕英
QIU Wuying;LAI Yanying(Department of Gynecology,Longyan Second Hospital in Fujian Province, Longyan 364000,China)
出处
《中国现代医生》
2018年第34期50-52,共3页
China Modern Doctor
关键词
腹腔镜
盆腔自主神经
宫颈癌
根治术
Laparoscopy
Pelvic autonomic nerve
Cervical cancer
Radical surgery
