摘要
目的:探讨腹腔镜下保留盆神经丛的根治术(LNSRH)治疗早期宫颈癌患者的临床效果。方法:选择2019年2月—2020年4月就诊于南阳市第一人民医院的90例早期宫颈癌患者作为研究对象,根据随机数表法分为试验组45例和常规组45例。试验组行LNSRH,常规组行常规腹腔镜下宫颈癌根治术(LRH)治疗。对比两组患者围术期相关指标、术后排尿与排便功能。结果:两组患者阴道切除长度、淋巴结切除数目、宫旁切除宽度、术中出血量相比,差异无统计学意义(P>0.05)。试验组手术时间为(173.08±34.95) min,长于常规组的(132.31±28.07) min,平均住院时间为(17.59±3.88)d、术后排便时间为(3.47±1.10) d,短于常规组的(19.75±4.96) d、(5.36±1.36) d,差异有统计学意义(t=6.101、2.301、7.248,P<0.05)。试验组术后残余尿<100 mL的比例为68.89%,高于常规组的46.67%,尿频发生率为15.56%、便秘发生率为17.78%、下坠感发生率为4.44%,均低于常规组的35.56%、37.78%、20.00%,差异有统计学意义(χ^(2)=4.555、4.731、4.486、5.075,P<0.05)。两组患者术后尿急、尿潴留、尿失禁、腹泻、便失禁发生率比较,差异无统计学意义(P>0.05)。结论:LNSRH能够在确保手术范围的同时,减小手术创伤,减轻对术后排尿与排便功能的影响,缩短术后恢复时间。
Objective:To investigate the clinical effect of laparoscopic pelvic plexus-sparing radical operation (LNSRH) in the treatment of early cervical cancer.Methods:A total of 90 patients with early cervical cancer in the hospital from February 2019 to April 2020 were selected and divided into the experimental group and the routine group according to the random number table method,with 45 cases in each group.The experimental group was treated with LNSRH,and the routine group was treated with conventional laparoscopic radical resection (LRH).The perioperative related indexes,postoperative urination and defecation function were compared between the two groups.Results:There was no statistically significant difference in the length of vaginal resection,the number of lymph node resections,the width of parametrial resection and the amount of intraoperative blood loss between the two groups (P>0.05).The operation time of the experimental group was (173.08±34.95) min,which was longer than (132.31±28.07) min of the routine group,the average hospital stay was (17.59±3.88) d,and the postoperative defecation time was (3.47±1.10) d,which were shorter than (19.75±4.96) d,(5.36±1.36) d of the routine group,the difference was statistically significant (t=6.101,2.301,7.248,P<0.05).The proportion of postoperative residual urine<100 mL in the experimental group was 68.89%which was higher than 46.67%in the routine group,the incidence of frequent urination was 15.56%,the incidence of constipation was 17.78%,and the incidence of falling sensation was 4.44%,which were all lower than 35.56%,37.78%,20.00%of the routine group,the difference was statistically significant (χ^(2)=4.555,4.731,4.486,5.075,P<0.05).There was no statistically significant difference in the incidence rates of urinary urgency,urinary retention,urinary incontinence,diarrhea and fecal incontinence between the two groups (P>0.05).Conclusion:LNSRH can reduce surgical trauma,reduce the impact on postoperative urination and defecation function,and shorten postoperative recovery time while ensuring the scope of surgery.
作者
杨长香
王博
YANG Chang-xiang;WANG Bo(Gynaecology Department,Nanyang First People’s Hospital,Nanyang,Henan,473000,China)
出处
《黑龙江医学》
2022年第16期1951-1953,共3页
Heilongjiang Medical Journal
关键词
早期宫颈癌
保留盆神经丛
排尿功能
腹腔镜
排便功能
宫颈癌根治术
Early cervical cancer
Pelvic plexus preservation
Urination function
Laparoscopy
Defecation function
Radical hysterectomy for cervical cancer
