系统保留盆腔自主神经广泛性子宫切除术的临床观察Preliminary clinical study of systematic nerve-sparing radical hysterectomy
陈贵芹;张雪玉;高生情;刘瑞;刘莉莉;张咏梅;陈春林;
摘要(Abstract):
目的:探索系统保留盆腔自主神经的广泛性子宫切除术(systematic nerve sparing radical hysterectomy,SNSRH)对术后膀胱、直肠及性功能的保护作用。方法:选取2007年11月2009年4月宁夏医科大学附属医院收治的44例宫颈癌及子宫内膜癌患者,A组24例行SNSRH,B组20例行传统根治性子宫切除术,观察SNSRH成功率,两组术后膀胱、直肠和性功能情况。结果:(1)A、B两组严格遵循Ⅲ型子宫切除术标准,手术切除范围无差异;(2)30例行SNSRH,成功保留盆腔自主神经(PAN)24例,失败6例,成功率80%;(3)A、B组平均手术时间、术中出血量差异无统计学意义;A、B组平均留置尿管时间、术后残余尿量、排气排便时间差异有统计学意义(P<0.05);(4)A组术后性功能障碍发生率明显低于B组,差异有统计学意义(P<0.05)。结论:系统保留PAN的广泛性子宫切除术对术后膀胱、直肠及性功能的恢复有一定的保护作用。
关键词(KeyWords): 宫颈肿瘤;子宫内膜肿瘤;子宫切除术;盆腔自主神经
基金项目(Foundation):
作者(Authors): 陈贵芹;张雪玉;高生情;刘瑞;刘莉莉;张咏梅;陈春林;
DOI: 10.13283/j.cnki.xdfckjz.2010.01.022
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