经腹腔镜保留盆腔自主神经根治性子宫切除术治疗早期宫颈癌的疗效

Efficacy of Laparoscopic Autonomic Nerve Sparing Radical Hysterectomy in the Treatment of Elderly Cervical Cancer

目的探讨经腹腔镜保留盆腔自主神经根治性子官切除术治疗早期宫颈癌的近期疗效及可行性。方法 61例早期宫颈癌患者分为2组:经腹腔镜保留盆腔自主神经根治性子官切除术组(A组)28例,经腹腔镜根治性子宫切除术组(B组)33例,比较观察2组的手术情况。结果 A组手术时间长于B组(P<0.05);A组尿管拔除情况优于B组(P<0.05);A组尿潴留发生率低于B组,差异有统计学意义(P<0.05)。结论经腹腔镜保留盆腔自主神经根治性子官切除术治疗早期宫颈癌安全有效,有利于膀胱功能恢复。

Objective To investigate the efficacy and feasibility of laparoscopic autonomic nerve sparing radical hysterectomy in the treatment of early cervical cancer. Methods Sixty-one patients with elderly cervical cancer were divided into the laparoscopic autonomic nerve-sparing radical hysterectomy group （A group, 28 patients） and the laparoscopic radical hysterectomy （B group,33 patients）, and the operation related information was compared. Results The operation time of the A group was shorter than that of the B group （P 〈 0.05）. The ureter extraction related information of the A group was better than that of the B group （P 〈 0.05）. The incidence of urine retention of the A group was lower than that of the B group （P 〈 0.05）. Conclusion Laparoscopic autonomic nerve-sparing radical hysterectomy is safe and feasible in the treatment of early cervical cancer.