保留盆腔自主神经对子宫颈癌根治术后并发症的影响

发布时间：2017-12-27 04:23

本文关键词：保留盆腔自主神经对子宫颈癌根治术后并发症的影响　出处：《医药论坛杂志》2016年11期 　论文类型：期刊论文

【摘要】：目的探讨保留盆腔自主神经对子宫颈癌根治术的临床意义及对术后并发症的影响。方法将65例行子宫颈癌根治术患者根据有无保留盆腔自主神经,分成保留组(37例)、对照组(28例),并对临床效果进行评价。结果保留组主韧带、宫骶韧带、膀胱宫颈韧带面积比分别为(3.25±2.44)%、(4.08±2.97)%、(1.36±0.32)%,明显小于对照组的(14.68±5.96)%、(16.43±5.92)%、(2.95±0.34)%;保留组并发症发生率为21.62%,明显低于对照组的67.86%;保留组手术时间明显高于对照组,但术后残余尿100ml、50ml时间及排气、排便时间均较短,两组各项差异均有统计学意义(P0.05)。两组患者出血量无统计学意义(P0.05)。结论保留盆腔自主神经子宫颈癌根治术可减少盆腔神经组织的损伤及术后并发症,缩短住院时间,值得临床推广应用。
[Abstract]:Objective to explore the clinical significance of preserving pelvic autonomic nerve for radical resection of cervical cancer and its effect on postoperative complications. Methods 65 patients with cervical cancer undergoing radical hysterectomy were divided into 37 groups (28 cases) according to whether pelvic autonomic nerve was reserved or not, and the clinical effect was evaluated. The retention group of cardinal ligaments, uterosacral ligaments and vesicouterine ligaments area ratio respectively (3.25 + 2.44)% and (4.08 + 2.97)% and (1.36 + 0.32)%, significantly less than the control group (14.68 + 5.96)% and (16.43 + 5.92)% and (2.95 + 0.34)%; Reserve group complication rate was 21.62%, significantly lower than the control group 67.86%; retention group operation time was significantly higher than the control group, but the postoperative residual urine 100ml, 50ml time and exhaust and defecation time were shorter in group two, the differences were statistically significant (P0.05). There was no statistical significance in the amount of bleeding in the two groups (P0.05). Conclusion pelvic autonomic nerve preserving radical hysterectomy can reduce pelvic nerve injury and postoperative complications, shorten hospitalization time, and is worthy of clinical application.
【作者单位】：平煤神马医疗集团总医院;
【分类号】：R737.33
【正文快照】： 子宫颈癌是临床常见的妇科肿瘤,根治性切除是早期治疗的主要手段[1]。但手术范围广、创伤大,手术时损伤盆腔自主神经。清扫髂血管淋巴组织时损伤腹主动脉丛与下腹上神经丛,致使术后易出现膀胱功能障碍、直肠功能紊乱等并发症[2]。为减少宫颈癌根治术对自主神经的损伤及术后并

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