子宮頸癌保留神經廣泛全切術與傳統廣泛全切術的療效對比研究

陳益珊　陳旭璇

[摘要] 目的 對比保留神經廣泛全切子宮與傳統廣泛全切子宮治療子宮頸癌的治療效果，并評估保留神經廣泛全切子宮治療子宮頸癌的臨床推廣價值。 方法 將于2012年1月～2014年12月期間來我院就診的64例子宮頸癌患者隨機平均分成兩組，分別為觀察組和對照組，每組32例，觀察組采用保留神經廣泛全切子宮進行治療，對照組采用傳統廣泛全切術進行治療，對兩組患者的手術時間、術中出血量、切除淋巴結數、術后住院時間、術后并發癥、術后尿管滯留時間、腸蠕動恢復時間、術后排氣量進行比較，評估兩種手術方法的優劣。 結果 對照組患者與觀察組相比手術時間、術中出血量、切除淋巴結數等方面差異無統計學意義（P>0.05）；觀察組患者尿管滯留時間、腸蠕動恢復時間、術后排氣時間較對照組明顯縮短，差異有統計學意義（P<0.05）；術后住院時間較對照組無明顯減少，差異無統計學意義（P>0.05）；觀察組患者并發癥發生率低于對照組，差異有統計學意義（P<0.05）；患者術后復發與腫瘤轉移情況差異無統計學意義（P>0.05）；患者性生活滿意度具有較大差異，觀察組明顯優于對照組，差異有統計學意義（P<0.05）。 結論 保留神經廣泛全切術與傳統廣泛全切術相比，可有效降低住院時間，降低并發癥發生率，加快患者的膀胱、直腸功能恢復速度，提高患者性生活質量，有效降低由于患病對生活產生的影響。

[關鍵詞] 子宮頸癌；保留神經；傳統；廣泛全切術

[中圖分類號] R737.33 [文獻標識碼] B [文章編號] 2095-0616（2015）24-192-04

[Abstract] Objective To compare the nerve-sparing radical hysterectomy with traditional radical hysterectomy treatment of uterine cervical cancer，and to assess nerve-sparing radical hysterectomy treatment in cervical cancer of the clinical value. Methods 64 cancer patients will be observed who came to our hospital from June 2013 to December 2014 period were randomly divided into two groups，namely the observation group and the control group，each group has 32 people，the observation group used nerve-sparing radical hysterectomy treated，control group using traditional radical hysterectomy treatment，Two groups of patients with operative time，blood loss，number of lymph node resection，postoperative hospital stay，postoperative complications， postoperative urinary retention time，bowel recovery time，postoperative displacement were compared to assess the two kinds pros and cons of surgical methods. Results The patients in the control group had no significant difference in terms of operative time，blood loss，and number of lymph node resection compared with the observation group was not statistically significant纟（P>0.05）；urinary retention time in patients in the observation group，bowel recovery time， postoperative exhaust time was significantly shorter than the control group， the difference was statistically significant（P<0.05）；postoperative hospital stay was significantly reduced compared with the control group， no difference was not obvious， was not statistically significant（P>0.05）；The incidence of complications in patients in the observation group than the control group， the difference was significant， with statistical significance（P<0.05）； tumor recurrence and metastasis in patients with no significant difference was not statistically significant（P>0.05）；sexual satisfaction in patients with a large difference in the observation group than the control group， the difference was statistically significant（P<0.05）. Conclusion The nerve-sparing radical hysterectomy compared with traditional radical hysterectomy， can effectively reduce the length of hospital stay，reduce the incidence of complications and accelerate the patients bladder，rectum functional recovery rate and improve the quality of life of patients，reduce illness impact on the lives of.endprint

[Key words] Cervical cancer；Nerve-sparing；Tradition；Radical hysterectomy

子宮頸癌是女性最常見惡性腫瘤之一，發病率僅次于乳腺癌，是一種發生于陰道部及子宮頸管處的惡性腫瘤[1]。患者會出現陰道接觸性出血，經期延長，周期縮短，陰道排液增多等癥狀，晚期還會出現尿頻尿急，里急后重的現象[2]。子宮頸癌會嚴重影響患者的生活質量[3]，嚴重時甚至危及生命。現階段，……