CAJ | 학술논문

目的回顾性分析宫颈癌行保留盆腔自主神经的广泛性子宫切除术(NSRH)和传统的广泛性子宫切除术(RH)对患者术后排尿功能的影响.方法选择临床分期为ⅠB1～ⅡA期并手术的宫颈癌患者57例,其中行NSRH患者31例,传统的RH患者26例,评估患者术后的膀胱功能,比较两种手术方式患者术后排尿功能恢复情况及术后肿瘤复发情况.结果 NSRH患者术后尿管留置时间(8.5±3.2)d,传统的RH患者为(12.8±3.8)d,两者比较差异有统计学意义(P<0.01).两种手术方式患者术后随访1～4年,均健在,无肿瘤复发和转移.结论 NSRH能较好地保留盆腔的自主神经,较明显改善早期宫颈癌患者术后的排尿功能,并且不影响肿瘤的根治效果.
목적 회고성분석궁경암행보류분강자주신경적엄범성자궁절제술(NSRH)화전통적엄범성자궁절제술(RH)대환자술후배뇨공능적영향.방법 선택림상분기위ⅠB1～ⅡA기병수술적궁경암환자57례,기중행NSRH환자31례,전통적RH환자26례,평고환자술후적방광공능,비교량충수술방식환자술후배뇨공능회복정황급술후종류복발정황.결과 NSRH환자술후뇨관류치시간(8.5±3.2)d,전통적RH환자위(12.8±3.8)d,량자비교차이유통계학의의(P<0.01).량충수술방식환자술후수방1～4년,균건재,무종류복발화전이.결론 NSRH능교호지보류분강적자주신경,교명현개선조기궁경암환자술후적배뇨공능,병차불영향종류적근치효과.
Objective To retrospectively compare analysis of two kinds of surgery which were nerve-sparing radical hysterectomy (NSRH) and the traditional radical hysterectomy (RH) for cervical cancer was done to find out the effect on urinary function in postoperative patients. Methods Among 57cervical cancer with clinical stage Ⅰ B1- Ⅱ A 31 cases treated with NSRH,26 cases treated with RH. The postoperative bladder function of the two methods were evaluated, and postoperative recovery of urinary function and postoperative recurrence of tumor were compared. Results The period of indwelling catheter for the postoperative patients with NSRH was (8.5 ± 3.2) days, obviously less than that for traditional RH patients which was ( 12.8 ± 3.8) days. The difference was statistically significant(P < 0.01 ). And two methods of postoperative patients were alive without tumor recurrence and metastasis after 1-4 years follow-up.Conclusions NSRH is better than traditional RH in remaining pelvic autonomic nervous system and improving the early urinary function of postoperative patients of cervical cancer. Otherwise, it doesn't effect the radical cure of tumor.