【摘要】：目的觀察臨床早期宮頸癌患者接受保留盆腔自主神經(jīng)廣泛性子宮切除術(shù)治療后膀胱功能及術(shù)后性生活質(zhì)量恢復(fù)情況。方法選擇FIGO分期為Ⅰa2期、Ⅰb1期、Ⅱa1期并手術(shù)治療宮頸癌患者50例,根據(jù)手術(shù)方式不同分為兩組。其中保留盆腔自主神經(jīng)廣泛性子宮切除術(shù)(NSRH)組20例,廣泛性子宮切除術(shù)(RH)組30例。觀察兩種不同術(shù)式患者的手術(shù)時(shí)間、術(shù)中出血、淋巴結(jié)清掃數(shù)目、尿管留置時(shí)間、殘余尿量及術(shù)后1年性生活質(zhì)量的變化。結(jié)果術(shù)后病理證實(shí),兩組手術(shù)切緣(陰道切緣、宮旁切緣)未見(jiàn)癌灶殘留。兩組手術(shù)時(shí)間、術(shù)中出血量、淋巴結(jié)清掃數(shù)目比較差異無(wú)統(tǒng)計(jì)學(xué)意義(P均0.05)。與RH組比較,NSRH組術(shù)后留置尿管時(shí)間短、術(shù)后7 d膀胱殘余尿量少(P均0.05)。術(shù)前兩組性功能障礙構(gòu)成比無(wú)統(tǒng)計(jì)學(xué)差異(P0.05);術(shù)后1年NSRH組性功能障礙構(gòu)成比42%,RH組性功能障礙構(gòu)成比79.6%,兩組比較差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論早期宮頸癌患者行NSRH治療術(shù)后膀胱功能恢復(fù)快,且對(duì)患者術(shù)后性生活質(zhì)量影響小。
[Abstract]:Objective to observe the recovery of bladder function and postoperative sexual life quality after pelvic autonomic nerve extensive hysterectomy in patients with early cervical cancer. Methods Fifty patients with cervical cancer were divided into two groups according to different operation methods: FIGO stage 鈪，

本文編號(hào)：2355447