实用癌症杂志
實用癌癥雜誌
실용암증잡지
THE PRACTICAL JOURNAL OF CANCER
2014年
12期
1699-1701
,共3页
保留盆腔自主神经根治术%子宫颈癌%术后并发症%膀胱功能%直肠功能
保留盆腔自主神經根治術%子宮頸癌%術後併髮癥%膀胱功能%直腸功能
보류분강자주신경근치술%자궁경암%술후병발증%방광공능%직장공능
Pelvic autonomic nerve-preserving radical resection%Cervical cancer%Postoperative complications%Bladder function%Rectum function
目的：探讨保留盆腔自主神经子宫颈癌根治术对患者预后的影响。方法将80例宫颈癌患者分为2组，保留盆腔自主神经治疗组42例，未保留盆腔自主神经组38例。分析比较2组的术后并发症、术后膀胱功能恢复时间和直肠功能恢复时间。结果共有27例发生术后并发症，保留组8例，未保留组19例。保留组术后残余尿量（65．94±12．85）ml，未保留组（315．35±50．23）ml，组间差异有统计学意义（P＜0．05）；保留组滞留尿管时间（8．15±1．23）d，未保留组（23．16±4．75）d，组间差异有统计学意义（P＜0．05）；保留组术后排气时间（52．38±6．25）h，未保留组（65．23±4．95）h；保留组术后排便时间（73．45±5．69）h，未保留组（85．95±6．37）h，无统计学意义。结论保留盆腔自主神经根治术能有效地减少术后并发症，并且患者能够在较短的时间内恢复。
目的：探討保留盆腔自主神經子宮頸癌根治術對患者預後的影響。方法將80例宮頸癌患者分為2組，保留盆腔自主神經治療組42例，未保留盆腔自主神經組38例。分析比較2組的術後併髮癥、術後膀胱功能恢複時間和直腸功能恢複時間。結果共有27例髮生術後併髮癥，保留組8例，未保留組19例。保留組術後殘餘尿量（65．94±12．85）ml，未保留組（315．35±50．23）ml，組間差異有統計學意義（P＜0．05）；保留組滯留尿管時間（8．15±1．23）d，未保留組（23．16±4．75）d，組間差異有統計學意義（P＜0．05）；保留組術後排氣時間（52．38±6．25）h，未保留組（65．23±4．95）h；保留組術後排便時間（73．45±5．69）h，未保留組（85．95±6．37）h，無統計學意義。結論保留盆腔自主神經根治術能有效地減少術後併髮癥，併且患者能夠在較短的時間內恢複。
목적：탐토보류분강자주신경자궁경암근치술대환자예후적영향。방법장80례궁경암환자분위2조，보류분강자주신경치료조42례，미보류분강자주신경조38례。분석비교2조적술후병발증、술후방광공능회복시간화직장공능회복시간。결과공유27례발생술후병발증，보류조8례，미보류조19례。보류조술후잔여뇨량（65．94±12．85）ml，미보류조（315．35±50．23）ml，조간차이유통계학의의（P＜0．05）；보류조체류뇨관시간（8．15±1．23）d，미보류조（23．16±4．75）d，조간차이유통계학의의（P＜0．05）；보류조술후배기시간（52．38±6．25）h，미보류조（65．23±4．95）h；보류조술후배편시간（73．45±5．69）h，미보류조（85．95±6．37）h，무통계학의의。결론보류분강자주신경근치술능유효지감소술후병발증，병차환자능구재교단적시간내회복。
Objective To study the effect of pelvic autonomic nerve-preserving radical resection on prognosis of cervical cancer.Methods 80 cases of cervical cancer patients were divided into pelvic autonomic nerve preservation treatment group of 42 cases,and without nerve preservation group of 38 cases.Postoperative complications ,postoperative recovery time of bladder function and rectum function of the 2 groups were compared .Results A total of 27 cases had postoperative complications ,8 cases of the preservation group ,19 cases without preservation group .Postoperative residual urine volume of the preservation group was (65.94 ±12.85) ml,without preservation group was (315.35 ±50.23) ml,the difference had statistically significance (P<0.05);retention catheter time of the preservation group was (8.15 ±1.23) d,without preservation group was (23.16 ±4.75) d, the difference had statistical significance (P<0.05);postoperative exhaust time of the preservation group was (52.38 ±6.25) h, without preservation group was (65.23 ±4.95) h;postoperative defecation time of the preservation group was (73.45 ±5.69) h, without preservation group was (85.95 ±6.37) h,there had no statistical significance .Conclusion Pelvic autonomic nerve-pre-serving radical resection for cervical cancer can effectively reduce the postoperative complications ,and patients can recover in a relatively short period of time .
