阴道残端悬吊术在子宫颈癌治疗中的应用

Application of Vagina Suspention for the Treatment of Cervical Cancer

目的探讨阴道残端悬吊术在宫颈癌治疗中的应用。方法50例子宫颈癌患者随机分为治疗组22例和对照组28例。治疗组行子宫颈癌根治术加阴道残端悬吊术,对照组行子宫颈癌根治术。并观察2组术中及术后情况。结果治疗组的手术时间、术中出血量、肛门排气时间、留置导尿时间、术后病率和脏器损伤发生率与对照组比较差异均无统计学意义(均P>0.05)。治疗组术后阴道长度显著长于对照组(P<0.01),而性生活时男方有阴道短小感、女方有不适感的发生率均明显低于对照组(均P<0.01)。结论在子宫颈癌根治术中,采用阴道残端悬吊术可以防止手术后阴道残端的进一步短缩而又不增加手术难度,有利于改善术后性生活质量。

Objective To explore the application of vagina suspention for the treatment of cervical cancer. Methods Fifty cases of cervical cancer were randomly divided into two groups, 22 cases in experiment group and 28 in control group. The patients in experiment group underwent radical hysterectomy combined with vagina suspension, and those in control group were treated with radical hysterectomy. The intro-and post-operation condition were observed. Results No statistic significance was found on operative time, operation hemahhrage, exsufflation time, retaining catheterization time, morbidity and injury rate（P〉0.05,respectively）. After surgery, the vagina length of experiment group was more longer than that of the control group（P〈0.01）. And the rate of vagina shortening for male or dyspareunia for female was lower in the experiment group than that of the control group（P〈0.01 ,respectively）. Conclusion The procedure of vagina suspension could improved the sexual function and reduce the vagina shortening after radical hysterectomy, but could not increase the surgical difficulty and may have a benefit for the pa- tients with early cervical cancer.