腹腔镜保留神经宫颈癌根治术的临床研究.pdfVIP

2010 1 19 1 Prog Obstet Gyneco,l Jan. 2010, Vol19, No1 * 张 勇, 王 丹 , 马 瑛, 潘长青 (绵阳市中心医院妇产科, 绵阳 621000) ! :研究腹腔镜保留盆腔自主神经 宫颈癌根治术( SNSRH )治疗宫颈癌 可行性, 评估术后膀胱功能恢复 效果: 选择∀ ~ # 期宫颈癌患者 35例研 A2 A 究组 17例应用 SNSRH 术, 术中保留盆腔内脏神经腹下神经下腹下神经丛及其膀胱分 支; 对照组 18例患者用传统腹腔镜子宫广泛切除术比较两组 手术时间出血量术后 膀胱功能恢复及术后并发症情况: 研究组手术时间 336 ∃ 17m in, 长于对照组 218 ∃ 8m in(P 0. 05); 研究组术中出血量 301 ∃ 12. 5m l, 与对照组 255 ∃ 33. 3m l 差异无统 计学意义(P 0. 05); 术后第 7天,研究组及对照组残余尿少于 100m l患者 比例分别为 64%及 11% , 两组差异有显著 统计学意义(P 0. 05); 研究组留置尿管时间 10 ∃ 3. 0 天, 明显短于对照组 23 ∃ 5. 4天(P 0. 05)两组患者均无手术并发症及肿瘤切缘不净 情况发生:腹腔镜 NSRH 治疗早期宫颈癌安全可行, 能明显改善术后 膀胱功能 ! 宫颈肿瘤; 子宫切除术; 盆腔自主神经; 腹腔镜外科手术 : R713. 4 : A : 1004- 7379( 2010) 01- 0030- 03 A clin ical study of surgica l treatm en t of the cervical cancer w ith laparoscop ic n ervespar ing radical hy sterectom y. Zhang Yong, W ang D an, M a Ying, et a.l D ep artm ent of Obstetrics and Gynecology, M ianyang C entralH osp ital, M ianyang 621000 Ab stract! Objective: o study the feasibility of treating the cervical cancerw ith lapa roscopic nervesparing radical hysterectomy, and assess the result of bladder function recove ring. M ethods: hirty five cases with stage∀A2 ~ #A cervical carcinoma were choosed. he study group enrolled 17wom en, whowere treatedw ith laparoscopic nervesparing radicalhyster ectomy in which the pelvic splanchnical nerve, hypogastrical nerve, inferior hypogastrical nerve plexus and its bladder branch were reserved. he other 18women in compare group were taken a traditional laparoscopic radical hysterectomy. he operating tmi e, bleeding, recovering of blad der fuction and complication were compared. R esults: he operating tmi e in study group was 336∃ 17 m in and itwas 218 ∃ 8m in in compare group. here was a significantly different be