保留盆腔自主神经的宫颈癌根治术对Ib期宫颈癌患者性生活质量及膀胱直肠功能的影响

Effect of Radical Resection of Cervical Carcinoma with Pelvic Nerve on Quality of Sexual Life and Bladder Function and Rectal Function in Patients with Ib Stage Cervical Cancer

目的:探讨保留盆腔自主神经的宫颈癌根治术对Ib期宫颈癌患者性生活质量及膀胱直肠功能的影响。方法:选取我院于2010年1月~2017年1月期间收治的90例Ib期宫颈癌患者为研究对象,按乱数表法分为对照组和观察组,每组患者各45例。对照组患者采用传统的宫颈癌根治术治疗,观察组采用保留盆腔自主神经的宫颈癌根治术治疗。比较两组患者的手术情况、性生活质量以及膀胱直肠功能。结果:相比于对照组,观察组患者的手术时间较长,但住院时间较短(P<0.05)。观察组术后残余尿量<100 m L、<50 m L的时间、肛门排气时间、排便时间与对照组比较均明显较短(P<0.05)。术后观察组性生活质量各项评分低于对照组(P<0.05)。观察组并发症发生率为6.67%,明显低于对照组的22.22%(P<0.05)。结论:保留盆腔自主神经的宫颈癌根治术治疗Ib期宫颈癌患者临床疗效显著,有利于患者术后膀胱直肠功能的快速恢复,对患者的性生活质量影响较小,且术后并发症较少。

Objective： To investigate the effect of radical resection of cervical cancer with pelvic nerve on the quality of sexual life and bladder function and rectal function in patients with Ib stage cervical cancer. Methods： A total of 90 patients with Ib stage cervical cancer who were treated in Panyu District Central Hospital of Guangzhou from January 2010 to January 2017, were selected and were randomly divided into control group（n=45） and observation group（n=45）. The control group was treated with traditional radical resection of cervical cancer, and the observation group was treated with radical resection of cervical carcinoma with pelvic nerve. The operation condition, the quality of sexual life and the function of the bladder and rectum were compared between the two groups. Results：Compared with the control group, the operation time of the patients in the observation group was longer, but the time of hospitalization was shorter（P〈0.05）. The time of residual urine volume 〈100 m L and 〈50 m L, anal exhaust time and defecation time in the observation group were shorter than those in the control group（P〈0.05）. The various scores of the quality of sexual life in the observation group after operation were lower than those in the control group, and the difference was statistically significant（P〈0.05）. The incidence of complications（6.67%） in the observation group was lower than that（22.22%） in the control group（P〈0.05）. Conclusion： The clinical efficacy of radical resection of cervical carcinoma with pelvic nerve in the treatment of patients with Ib stage cervical cancer is significant. It is conducive to the rapid recovery of bladder and rectum function after operation and has little influence on the quality of sexual life and fewer postoperative complications.