CAJ | 학술논문

目的：分析保留盆腔自主神经广泛性子宫切除术（RH）治疗早期宫颈癌的临床疗效及其对膀胱和直肠功能的影响。方法将2012年1月至2013年10月收治的120例早期宫颈癌患者随机分为 NSRH 组和 RH 组，各60例，NSRH组行保留盆腔自主神经RH，RH组行传统RH，观察两组患者手术时间、术中出血量、淋巴结切除数目及术后膀胱功能和直肠功能的差异。结果 NSRH组患者手术时间较RH组长，术后排气和排便时间均短于RH组，术后3个月膀胱和直肠功能障碍发生率明显低于RH组，差异均有统计学意义（P＜0.05）；术中出血量、淋巴结切除数目与RH组一致，差异均无统计学意义（P＞0.05）。结论保留盆腔自主神经的RH不增加术中并发症，利于术后膀胱和直肠功能的恢复，能提高患者术后生活质量。
목적：분석보류분강자주신경엄범성자궁절제술（RH）치료조기궁경암적림상료효급기대방광화직장공능적영향。방법장2012년1월지2013년10월수치적120례조기궁경암환자수궤분위 NSRH 조화 RH 조，각60례，NSRH조행보류분강자주신경RH，RH조행전통RH，관찰량조환자수술시간、술중출혈량、림파결절제수목급술후방광공능화직장공능적차이。결과 NSRH조환자수술시간교RH조장，술후배기화배편시간균단우RH조，술후3개월방광화직장공능장애발생솔명현저우RH조，차이균유통계학의의（P＜0.05）；술중출혈량、림파결절제수목여RH조일치，차이균무통계학의의（P＞0.05）。결론보류분강자주신경적RH불증가술중병발증，리우술후방광화직장공능적회복，능제고환자술후생활질량。
Objective To analyze the clinical efficacy of autonomic nerve-sparing radical hysterectomy (RH) in the treatment of early cervical cancer and the influence on bladder and rectal functions. Methods A total of 120 patients with early cervical cancer collected by this hospital from January 2012 to October 2013 were divided into two groups ,including NSRH group,60 cases with RH with pelvic autonomic nerve preservation and RH group,60 cases with conventional RH. It was observed the operation time, bleeding volume,number of lymph nodes and the difference of postoperative bladder and bowel functions. Re-sults The operation time in NSRH group was longer than that of RH group ,whose difference had statistical significance (P<0.05),while the bleeding volume,number of lymph nodes were equal to the RH group,the difference was statistically significance (P<0.05). Both the anal exhaust time and defecating time in the NSRH group were significantly lower than RH group ,whose dif ference had statistical significance (P<0.05). The incidence of bladder dysfunction and rectum dysfunction 3 months after the opera tion in the NSRH group was significantly lower that of RH group,which had statistical significance in difference(P<0.05). Con-clusions NSRH with pelvic autonomic nerve preservation not only fail to increase intraoperative complications but also is benefi-cial to the recovery of bladder and rectal functions ,improving the quality of postoperative life of patients.