腹腔镜下保留神经宫颈癌根治术的近期疗效

Short-term efficacy for laparoscopic systematic nerve-sparing radical hysterectomy

目的:探讨腹腔镜下保留神经的广泛性子宫切除术(SNSRH)治疗早期宫颈癌的近期疗效。方法:选取我院从2015年12月至2016年12月收治的100例早期宫颈癌患者,按照随机对照原则分为腹腔镜下保留神经的广泛性子宫切除术(SNSRH组)和腹腔镜下广泛性子宫切除术(LRH组),分析术后近期疗效。结果:两组患者手术均顺利进行,两组患者的手术时间、淋巴结清扫数目、术中出血量比较,差异无统计学意义(P>0.05);SNSRH组患者术后排气时间、术后排便时间、拔出尿管时间、膀胱功能恢复时间、术后住院时间较LRH组患者明显缩短,差异具有统计学意义(P<0.05);两组患者术后膀胱功能障碍比较:LRH组患者术后伴有更明显的间断排尿、腹压排尿、尿失禁、尿潴留症状(P<0.05);对于尿频症状,无统计学差异(P>0.05)。结论:腹腔镜下保留神经的宫颈癌根治术的近期临床疗效好,值得在临床上应用和推广。

Objective ：To discuss about the short -term efficacy of laparoscopic systematic nerve -sparing radical hysterectomy in the treatment of early cervical cancer. Methods：Selecting 100 cases of early cervical cancer patients from December 2015 to December 2016, these patients are divided into SNSRH group and LRH group according to the principle of random. To analyze the short - term efficacy of the two groups. Results： The operation went smoothly of the two groups. No significant difference （ P 〉 0.05 ） were observed in terms of operative time, the number of lymph nodes retrieved and intraoperative blood loss. The difference is statistically significant （ P 〈 0.05 ） in the postoperative exhaust time, defecation time, extubation time, postoperative of bladder function and the time of hospitalization, which SNSRH group are better than LRH group. To compare of the postoperative bladder dysfunction, LRH group had more obvious intermittent urination, abdominal pressure micturition, urinary incontinence, urinary retention symptoms （ P 〈 0.05 ）. There was no significant difference （ P 〉 0.05 ） in frequent micturition. Conclusion： SNSRH had a good Short - term efficacy, which was worthy of clinical application and promotion.