保留盆腔自主神经的广泛性子宫切除术对早期子宫颈癌膀胱功能的影响

Effects of Extensive Hysterectomy on Bladder Function in Early Cervical Cancer By Retaining Pelvic Autologous Nerves

目的 探索保留盆腔自主神经的广泛性子宫切除术对早期子宫颈癌膀胱功能的影响。方法 选择90例子宫颈癌患者为试验对象,根据抽样法分2组,对照组和观察组各45例,分别选择广泛性子宫切除术治疗、保留盆腔自主神经的广泛性子宫切除术治疗,并对比术后女性性功能量表(FSFI)评分、术后膀胱残余尿量、排气时间、排便时间、尿管留置时间、住院时间,同时统计排尿率、排便异常率。结果 观察组排尿率、排便异常率以及各时间段FSFI评分低于对照组(P<0.05),术后膀胱残余尿量少于对照组(P<0.05),尿管留置时间、排便时间、排气时间、住院时间短于对照组(P<0.05)。结论 对子宫颈癌患者实施保留盆腔自主神经的广泛性子宫切除术治疗效果显著,可减轻对术后性功能影响,改善膀胱功能。

Objective To explore the effects of extensive hysterectomy on bladder function of early cervical cancer by retaining pelvic autologous nerves.Methods 90 cases of cervical cancer patients were selected as the test subjects,according to the ethonectomy sampling method divided into 2 groups,control group and observation group of 45 cases,respectively,selected extensive hysterectomy treatment,retaining pelvic autologous nerve extensive hysterectomy treatment,and compared with postoperative female sexual function scale(FSFI)score,postoperative bladder residual urine volume,exhaust time,excretion time,urinary tract retention time,hospitalization rate,and statistics of urinary abnormality.Results The urination rate,detoo urination abnormality rate and FSFI score were lower than that of the control group(P<0.05),the residual urine volume of the bladder after surgery was less than that of the control group(P<0.05),and the urethra retention time,detoating time,exhaust time,and hospital stay were shorter than that of the control group(P<05).Conclusion The extensive hysterectomy treatment of retaining pelvic autologous nerve in patients with cervical cancer has a significant effect,which can reduce the effect on postoperative sexual function and improve bladder function.