腹腔镜下保留盆腔自主神经的宫颈癌根治术的临床疗效

Clinical Effect of Laparoscopic Radical Resection with Pelvic Autonomic Nerve Sparing

目的探讨腹腔镜下保留盆腔自主神经宫颈癌根治术治疗宫颈癌的效果。方法选取柘城县人民医院2018年6月至2020年6月收治的60例宫颈癌患者作为研究对象,患者均接受腹腔镜下宫颈癌根治术治疗,将患者按照随机数表法分为观察组与对照组,每组30例。对照组接受传统不保留盆腔自主神经的腹腔镜宫颈癌根治术,观察组接受腹腔镜下保留盆腔自主神经的宫颈癌根治术,对比两组患者的术中出血量、淋巴结切除个数、住院时间、手术时间、术后并发症与生活质量。结果两组患者术中出血量、淋巴结切除个数、住院时间对比,差异无统计学意义(P>0.05);观察组手术时间长于对照组,差异有统计学意义(P<0.05)。两组患者术后并发症发生率对比,差异无统计学意义(P>0.05)。手术后两组患者生活质量评分均升高,且观察组高于对照组,差异有统计学意义(P<0.05)。结论对宫颈癌患者应用腹腔镜下保留盆腔自主神经的宫颈癌根治术虽然增加了患者的手术时间,但对于手术效果、患者的恢复情况以及术后并发症并无明显影响,且能够提升患者术后生活质量,值得临床应用推广。

Objective To investigate the effect of laparoscopic radical resection pelvic autonomic nerve sparing in the treatment of cervical cancer.Methods A total of 60 patients with cervical cancer treated in Zhecheng County People’s Hospital from June 2018 to June 2020 were selected as the research object.All patients received laparoscopic radical hysterectomy,they were divided into observation and control groups according to the random number table method,with 30 cases in each group.The control group received the traditional laparoscopic radical resection of cervical cancer without pelvic autonomic nerve,and the observation group received the laparoscopic radical resection of cervical cancer with pelvic autonomic nerve.The amount of bleeding,the number of lymph nodes removed,the hospitalization time,operation time,postoperative complications and quality of life were compared between the two groups.Results There was no statistical differences on the amount of intraoperative bleeding,the number of lymph nodes removed and hospitalization time between the two groups(P>0.05).The operation time in the observation group was longer than that in the control group(P<0.05).There was no statistical difference on the incidence of postoperative complications between the two groups(P>0.05).The scores of quality of life in the two groups increased after operation,and the observation group was higher than that in the control group(P<0.05).Conclusion Although laparoscopic radical resection of cervical cancer with pelvic autonomic nerve preservation increases the operation time,it has no significant impact on the operation effect,recovery and postoperative complications,and it can improve the postoperative quality of life of patients,which is worthy of clinical application and promotion.