LNSRH对早期宫颈癌患者膀胱和直肠功能的影响

The Effect of LNSRH on Bladder and Rectal Function in Early Cervical Cancer Patients

目的 探讨LNSRH对早期宫颈癌患者膀胱和直肠功能的影响。方法 选取早期宫颈癌手术患者61例作为研究对象,根据手术方式不同将患者分为2组,对照组采用非保留神经手术(LRH),观察组采用保留神经手术(LNSRH)。比较2组患者的手术相关指标、术后直肠功能和膀胱功能。结果 2组患者的手术时间、术中出血量、术中并发症和术后并发症相比,无统计学差异(P>0.05)。观察组患者术后排气时间、排便时间均显著短于对照组,术后1个月、3个月、6个月和12个月排便异常发生率显著低于对照组(P<0.05)。观察组患者保留尿管时间,排尿困难发生率、膀胱功能障碍发生率和尿潴留发生率显著低于对照组(P<0.05);2组膀胱充盈感和尿失禁发生率相比,无统计学差异(P>0.05)。结论 LNSRH手术治疗早期宫颈癌可有效保护患者的直肠和膀胱功能,且不影响手术相关指标,是一种安全可靠的手术方式。

Objective To explore the effect of LNSRH on bladder and rectal function in early cervical cancer patients. Methods 61 cases of early cervical cancer surgical patients were selected as the research object,and were divided into 2 groups according to different operation method,the control group adopts LRH,the observation group adopts LNSRH.The operative indicators,rectal function and bladder function were compared between the 2 groups. Results There had no statistically significant differences between the 2 groups in operation time,intraoperative hemorrhage,intraoperative complications and postoperative complications( P >0.05).Postoperative exhaust time,defecation time in the observation group were significantly shorter than the control group,abnormal defecate incidence in observation group postoperative 1 month,3 months,6 months and 12 months was significantly lower than the control group ( P <0.05).Retain the urine tube time,the incidence of dysuria,urinary bladder dysfunction rate and incidence of urinary retention in the observation group were significantly lower than control group ( P <0.05),compared the 2 groups of bladder fullness and the incidence of urinary incontinence had no statistical difference ( P >0.05). Conclusion LNSRH can effectively protect the rectal and bladder functions of patients with early cervical cancer,and it is a safe and reliable surgical method without affecting the surgical indicators.