保留神经腹腔镜广泛子宫全切术临床应用研究.docVIP

保留神经的腹腔镜广泛子宫全切术的临床应用研究 　　[摘要] 目的 分析保留神经的腹腔镜广泛子宫全切术的临床应用效果。方法 随机选取该院2014年5月―2015年2月期间收治的60例宫颈癌患者，将所有患者随机分为两组，各30例，对照组采用常规腹腔镜子宫全切术，观察组采用保留神经的腹腔镜子宫全切术，分析比较两组手术情况及手术前后尿流动力学。结果 观察组手术时间为（160.3±30.7）min长于对照组（113.2±33.7）min，住院时间为（7.8±1.7）d显著低于对照组（12.6±2.4）d，差异有统计学意义（P0.05）；观察组尿动力学优于对照组，差异有统计学意义（P0.05）。结论 采用保留神经的腹腔镜广泛子宫全切术能够极大程度的保护患者膀胱及其他神经功能，对患者预后的生活不会造成影响，值得在临床应用与推广。 　　[关键词] 保留神经；腹腔镜；广泛子宫全切术 　　[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2016）08（b）-0041-03 　　[Abstract] Objective To anaylse the clinical application effect of laparoscopic extensive hysterectomy that nerve-sparing. Methods Random selected 60 cases of patients with cervical cancer at our hospital from the May 2014 to February 2015， to randomly divided into two groups， each 30 cases. The control group was treated by conventional total laparoscopic hysterectomy， and the treatment group was treated by laparoscopic extensive hysterectomy that nerve-sparing. Situation and urodynamics before and after surgery were compared operative analysis. Results Observation group operation time was （160.3 ± 30.7） min longer than the control group （113.2 ± 33.7） min， hospital stay was （7.8 ± 1.7） d was significantly lower than the control group （12.6 ± 2.4） d， P 0.05 significant difference；To compared the cleared number of lymph gland， resection length of vagina and parametriu m of them， there was no statistical significance （P?0.05）. The urodynamics of the treatment group was better than the control group， there was statistical significance （P?0.05）. Conclusion That able to great of protecting the bladder and other neurological function by laparoscopic extensive hysterectomy that nerve-sparing， that will not affect the life after prognosis of patients， and worth for promotion and application. 　　[Key words] Nerve-sparing；Laparoscope； Extensive hysterectomy 　　子宫全切术大多应用于子宫肌瘤和子宫大出血等病症治疗中，在进行子宫全切术同时常进行盆腔淋巴结清扫术，这些手术可以清除患者体内的癌细胞，延长患者生存期限，但需要切除与阴道相关的神经组织，牵连膀胱。因此，大部分患者术后容易出现排尿障碍，影响患者的生活[1-2]。该研究随机选取该院2014年5月―2015年2月期间收治的60例宫颈癌患者进行保留神经的腹