子宫颈癌保留神经广泛全切术与传统广泛全切术的疗效对比研究

Nerve-sparing radical hysterectomy with the traditional radical hysterectomy for cervical cancer treatment efficacy comparative study

目的对比保留神经广泛全切子宫与传统广泛全切子宫治疗子宫颈癌的治疗效果,并评估保留神经广泛全切子宫治疗子宫颈癌的临床推广价值。方法将于2012年1月-2014年12月期间来我院就诊的64例子宫颈癌患者随机平均分成两组,分别为观察组和对照组,每组32例,观察组采用保留神经广泛全切子宫进行治疗,对照组采用传统广泛全切术进行治疗,对两组患者的手术时间、术中出血量、切除淋巴结数、术后住院时间、术后并发症、术后尿管滞留时间、肠蠕动恢复时间、术后排气量进行比较,评估两种手术方法的优劣。结果对照组患者与观察组相比手术时间、术中出血量、切除淋巴结数等方面差异无统计学意义（P〉0.05）;观察组患者尿管滞留时间、肠蠕动恢复时间、术后排气时间较对照组明显缩短,差异有统计学意义（P〈0.05）;术后住院时间较对照组无明显减少,差异无统计学意义（P〉0.05）;观察组患者并发症发生率低于对照组,差异有统计学意义（P〈0.05）;患者术后复发与肿瘤转移情况差异无统计学意义（P〉0.05）;患者性生活满意度具有较大差异,观察组明显优于对照组,差异有统计学意义（P〈0.05）。结论保留神经广泛全切术与传统广泛全切术相比,可有效降低住院时间,降低并发症发生率,加快患者的膀胱、直肠功能恢复速度,提高患者性生活质量,有效降低由于患病对生活产生的影响。

Objective To compare the nerve-sparing radical hysterectomy with traditional radical hysterectomy treatment of uterine cervical cancer,and to assess nerve-sparing radical hysterectomy treatment in cervical cancer of the clinical value. Methods 64 cancer patients will be observed who came to our hospital from June 2013 to December 2014 period were randomly divided into two groups,namely the observation group and the control group,each group has 32 people,the observation group used nerve-sparing radical hysterectomy treated,control group using traditional radical hysterectomy treatment,Two groups of patients with operative time,blood loss,number of lymph node resection,postoperative hospital stay,postoperative complications, postoperative urinary retention time,bowel recovery time,postoperative displacement were compared to assess the two kinds pros and cons of surgical methods. Results The patients in the control group had no significant difference in terms of operative time,blood loss,and number of lymph node resection compared with the observation group was not statistically significant 纟（P 〈0.05）;urinary retention time in patients in the observation group,bowel recovery time, postoperative exhaust time was significantly shorter than the control group, the difference was statistically significant（P〈0.05）;postoperative hospital stay was significantly reduced compared with the control group, no difference was not obvious, was not statistically significant（P 〈0.05）;The incidence of complications in patients in the observation group than the control group, the difference was significant, with statistical significance（P 〈0.05）; tumor recurrence and metastasis in patients with no significant difference was not statistically significant（P 〉0.05）;sexual satisfaction in patients with a large difference in the observation group than the control group, the difference was statistically significant（P 〈0.05）. ConclusionThe nerve-sparing radical hysterectomy compared with traditional radical hysterectomy, can effectively reduce the length of hospital stay,reduce the incidence of complications and accelerate the patient＇s bladder,rectum functional recovery rate and improve the quality of life of patients,reduce illness impact on the lives of.