保留盆腔自主神经广泛性子宫切除术治疗83例宫颈癌患者的效果及对膀胱功能的影响

Clinical study of radical hysterectomy with pelvic autonomic nerve preservation in the treatment of 83 patients with cervical cancer and its effect on bladder function

目的 探讨保留盆腔自主神经广泛性子宫切除术治疗宫颈癌患者的临床疗效及对膀胱功能的影响.方法 本文选择我院2015年6月~2020年6月收治的83例患者随机分为观察组(n=42)和对照组(n=41).对照组采用广泛性子宫切除术,观察组采用保留盆腔自主神经广泛性子宫切除术治疗.观察比较两组手术时间、阴道切除长度及淋巴结切除数目等手术情况,保留尿管时间及术后排尿障碍、腹压排尿等膀胱功能障碍发生情况,I-QO生活质量评分.结果 观察组手术时间长于对照组(t=3.197,P=0.002),两组患者的其余各项手术参数比较,差异均无统计学意义(P>0.05).观察组术后保留尿管时间明显低于对照组(t=-3.303,P=0.002),术后出现膀胱功能障碍的比例为7.32%,显著低于对照组的24.39%(χ2=4.672,P=0.031).治疗前,两组患者生活质量评分比较无统计学差异(P>0.05);治疗后,两组生活质量评分升高(P<0.05),且观察组(85.23±10.66)分显著优于对照组的(76.94±9.71)分(t=3.705,P=0.000).结论 保留盆腔自主神经广泛性子宫切除术治疗宫颈癌临床疗效显著,可有效促进患者术后膀胱功能恢复,提高患者生活质量评分,安全性高,值得推广应用.

Objective This study aims to investigate the rliniral effect of radical hysterectomy with pelvic autonomif nerve presen at ion and its effect on bladder funrtion.Methods 83 patients in our hospital from June 2015 to June 2020 were randomly divided into observation group(n=42)and control group(n=41).The control group was treated with radical hysterectomy.and the observation group was treated vvilh radical hysterectomy with pelvir autonomic nerve preservation.The operation time,the length of vaginal resection and the*number of lymphadeneclomy were observed and compared between the two groups.Resu Its The operation time of the observation group was higher than that of the rontrol group(t=3.197,P=0.002),anrl there was no significant clifferenre in other operation parameters between the two groups(P>0.05).The postoperative retention lime of urinary catheter in the observation group was significantly lower than that in the cnnlrol grrmp(t=-3.303,P=0.002).And.the proportion of postoperative bladder dysfunction was 7.32%,which was significantly lower than that of 24.39%in the control group(x^(2)=4.672,P=0.031).Before treafmenl,there was no signifirant difference in the score of quality of life between the two groups(P>0.05).After treatment,the score of quality of life in the two groups increased(P<0.05),and the score of(85.23±10.66)in the observation group was significantly belter llian(76.94±9.71)in the control group(t=3.705,P=0.000).Conclusion Radical hystererlomy with pelvic autonomir nerve preservation has significant clinical effect in the treatment of rervical cancer.With high safety,it ran effectively promote the recovery of hlaflder funrtinn.improve the quality of life score of patients.