發(fā)布時(shí)間：2017-12-27 04:23

  本文關(guān)鍵詞：保留盆腔自主神經(jīng)對子宮頸癌根治術(shù)后并發(fā)癥的影響　出處：《醫(yī)藥論壇雜志》2016年11期 　論文類型：期刊論文

  更多相關(guān)文章： 子宮頸癌 根治性手術(shù) 盆腔自主神經(jīng)

【摘要】：目的探討保留盆腔自主神經(jīng)對子宮頸癌根治術(shù)的臨床意義及對術(shù)后并發(fā)癥的影響。方法將65例行子宮頸癌根治術(shù)患者根據(jù)有無保留盆腔自主神經(jīng),分成保留組(37例)、對照組(28例),并對臨床效果進(jìn)行評(píng)價(jià)。結(jié)果保留組主韌帶、宮骶韌帶、膀胱宮頸韌帶面積比分別為(3.25±2.44)%、(4.08±2.97)%、(1.36±0.32)%,明顯小于對照組的(14.68±5.96)%、(16.43±5.92)%、(2.95±0.34)%;保留組并發(fā)癥發(fā)生率為21.62%,明顯低于對照組的67.86%;保留組手術(shù)時(shí)間明顯高于對照組,但術(shù)后殘余尿100ml、50ml時(shí)間及排氣、排便時(shí)間均較短,兩組各項(xiàng)差異均有統(tǒng)計(jì)學(xué)意義(P0.05)。兩組患者出血量無統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論保留盆腔自主神經(jīng)子宮頸癌根治術(shù)可減少盆腔神經(jīng)組織的損傷及術(shù)后并發(fā)癥,縮短住院時(shí)間,值得臨床推廣應(yīng)用。
[Abstract]:Objective to explore the clinical significance of preserving pelvic autonomic nerve for radical resection of cervical cancer and its effect on postoperative complications. Methods 65 patients with cervical cancer undergoing radical hysterectomy were divided into 37 groups (28 cases) according to whether pelvic autonomic nerve was reserved or not, and the clinical effect was evaluated. The retention group of cardinal ligaments, uterosacral ligaments and vesicouterine ligaments area ratio respectively (3.25 + 2.44)% and (4.08 + 2.97)% and (1.36 + 0.32)%, significantly less than the control group (14.68 + 5.96)% and (16.43 + 5.92)% and (2.95 + 0.34)%; Reserve group complication rate was 21.62%, significantly lower than the control group 67.86%; retention group operation time was significantly higher than the control group, but the postoperative residual urine 100ml, 50ml time and exhaust and defecation time were shorter in group two, the differences were statistically significant (P0.05). There was no statistical significance in the amount of bleeding in the two groups (P0.05). Conclusion pelvic autonomic nerve preserving radical hysterectomy can reduce pelvic nerve injury and postoperative complications, shorten hospitalization time, and is worthy of clinical application.
【作者單位】： 平煤神馬醫(yī)療集團(tuán)總醫(yī)院;
【分類號(hào)】：R737.33
【正文快照】： 子宮頸癌是臨床常見的婦科腫瘤,根治性切除是早期治療的主要手段[1]。但手術(shù)范圍廣、創(chuàng)傷大,手術(shù)時(shí)損傷盆腔自主神經(jīng)。清掃髂血管淋巴組織時(shí)損傷腹主動(dòng)脈叢與下腹上神經(jīng)叢,致使術(shù)后易出現(xiàn)膀胱功能障礙、直腸功能紊亂等并發(fā)癥[2]。為減少宮頸癌根治術(shù)對自主神經(jīng)的損傷及術(shù)后并

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