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保留盆腔植物神经广泛性子宫切除术临床研究 被引量：13

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摘要 目的:比较保留神经的广泛性子宫切除术(Nerve-sparing radical hysterectomy,NSRH)和传统的广泛性子宫切除术(radical hysterectomy,RH)对宫颈癌患者盆腔自主神经功能的影响以及围手术期并发症的发生情况。方法:选择2007年10月1日～2010年9月30日在宜兴市人民医院接受手术治疗的患者92例,其中接受NSRH 46例,接受RH 46例,均为Ⅰa～Ⅱb期宫颈浸润癌。观察两种手术对患者膀胱功能的影响,比较手术时间、术中出血量和围手术期并发症的发生情况。结果:术后平均尿管留置时间NSRH和RH患者分别为(11.37±3.25)天和(20.15±9.10)天,NSRH患者短于RH患者,差异有统计学意义(P<0.001)。平均手术时间、术中出血量NSRH和RH患者分别为(208.58±43.70)min和(221.30±37.79)min、(498.91±227.42)ml和(571.96±241.47)ml,两者比较差异均无统计学意义(P>0.05)。两组患者术后病理检查均未提示有阳性手术切缘,两组各有1例输尿管损伤。随访3年NSRH患者未见复发,RH患者有1例复发。结论:NSRH手术能有效保护早期宫颈浸润癌患者的盆腔自主神经功能,且安全可行。
作者 杨慧云 吴海峰 黎世平 袁凤娣 朱筱娟
机构地区 江苏省宜兴市人民医院
出处 《中国妇幼保健》 CAS 北大核心 2012年第25期4014-4015,共2页 Maternal and Child Health Care of China
关键词 子宫切除术 自主神经系统 宫颈肿瘤
分类号 R713.42 [医药卫生—妇产科学]
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参考文献4

二级参考文献32

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共引文献49

同被引文献88

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引证文献13

二级引证文献103

中国妇幼保健
2012年 第25期

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