CAJ | 학술논문

目的：初步研究腹腔镜下系统保留盆腔自主神经的广泛性子宫切除术（SNSRH）治疗早期宫颈癌的可行性及临床价值。方法选取2011年8月~2013年8月，郑州市第一人民医院对28例Ⅰa~Ⅱa期宫颈癌患者行SNSRH与同期传统的腹腔镜下非保留神的广泛性全子宫切除术对比，分析两组手术时间、术中出血量、手术并发症、术后住院天数及术后膀胱、直肠功能情况。结果（1）保留组与非保留组严格按照Ⅲ型子宫切除标准，手术切除范围差异无统计学意义；（2）成功保留神经24例，失败4例，成功率为86％；（3）两组手术范围、术中出血量差异无统计学意义（P＞0.05）；平均留置尿管天数、术后残余尿量、排气排便时间差异有统计学意义（P＜0.05）。结论腹腔镜下SNSRH具有可行性，有助于术后膀胱、直肠功能的恢复。
목적：초보연구복강경하계통보류분강자주신경적엄범성자궁절제술（SNSRH）치료조기궁경암적가행성급림상개치。방법선취2011년8월~2013년8월，정주시제일인민의원대28례Ⅰa~Ⅱa기궁경암환자행SNSRH여동기전통적복강경하비보류신적엄범성전자궁절제술대비，분석량조수술시간、술중출혈량、수술병발증、술후주원천수급술후방광、직장공능정황。결과（1）보류조여비보류조엄격안조Ⅲ형자궁절제표준，수술절제범위차이무통계학의의；（2）성공보류신경24례，실패4례，성공솔위86％；（3）량조수술범위、술중출혈량차이무통계학의의（P＞0.05）；평균류치뇨관천수、술후잔여뇨량、배기배편시간차이유통계학의의（P＜0.05）。결론복강경하SNSRH구유가행성，유조우술후방광、직장공능적회복。
Objective To investigate the feasibility and clinical value of laparoscopic-assisted operation of systematic nerve-sparing radical hysterectomy(SNSRH) for cervical cancer patients. Methods 28 cases ofⅠa-Ⅱ a cervical cancer patients which were operated by systematic nerve-sparing radical hysterectomy (SNSRH), compared with group of non-systematic nerve-sparing radical hysterectomy(NSNSRH), all patients were from Zhengzhou First People's Hospital between August 2011and August 2013. These patients were detected by operative time, blood loss, complications, postoperative hospital stay, bladder and bowel function after operations. Results (1)There was no significant difference between the two groups in the extent of resection. Both groups were resected according to the standard of III hysterectomy. (2) There were 24 cases of successful retention of SNSRH and four cases of failure, the success ratio of 86%. (3) There was no significant difference in average operation time and blood loss during the operation between the two groups; There was significant difference in the media duration of postoperative catheterization, the postoperative residual urine volume,the first exhaust time and the first stool time between SNSRH group and NSNSRH group (P<0.05). Conclusion There was feasibility of Laparoscopic-assisted operation of SNSRH for cervical cancer patients because of better preservation of bladder and bowel function.