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目的探讨保留盆腔自主神经根治性子宫切除术在宫颈癌患者治疗中的应用价值。方法选取2014年1-12月沈阳市第五人民医院收治的48例宫颈癌患者为研究对象,按随机数字表法将其分为观察组与对照组,各24例。对照组患者行常规根治性子宫切除术,观察组患者采用保留盆腔自主神经根治性子宫切除术进行治疗,比较两组患者的临床治疗效果。结果观察组患者子宫切除时间、手术时间均明显长于对照组,差异均有统计学意义(均P<0.05);观察组患者术后首次排气时间、排便时间、残余尿量<100 ml时间、残余尿量<50 ml时间均明显短于对照组,差异均有统计学意义(均P<0.05)。结论保留盆腔自主神经根治性子宫切除术治疗宫颈癌患者临床效果明显,术中可有效避免损伤患者盆腔神经,术后膀胱功能及直肠功能恢复时间短,手术安全性高,患者预后佳。
Objective To investigate the value of preserving pelvic autonomic nerve radical hysterectomy in the treatment of cervical cancer patients. Methods Forty-eight patients with cervical cancer who were admitted to Shenyang Fifth People’s Hospital from January to December in 2014 were selected as the study objects, and divided into observation group and control group according to the random number table method, with 24 cases in each group. Patients in the control group underwent conventional radical hysterectomy. Patients in the observation group were treated by radical hysterectomy with pelvic autonomic nerve preservation. The clinical effects of the two groups were compared. Results The hysterectomy time and operation time in the observation group were significantly longer than those in the control group (all P <0.05). The first postoperative exhaust time, defecation time, residual urine volume <100 ml, Residual urine volume <50 ml were significantly shorter than the control group, the difference was statistically significant (P <0.05). Conclusions The clinical effect of preserving pelvic autonomic nerve radical hysterectomy in patients with cervical cancer is obvious. It can effectively prevent pelvic nerve injury in patients with intraoperative and postoperative bladder function and rectal function recovery time is short, the operation is safe and the prognosis of patients is good.