摘要
目的:分析腹腔镜下保留盆腔自主神经广泛子宫切除联合盆腔淋巴结清扫术治疗子宫内膜癌(EC)患者的临床效果。方法:回顾性分析2017年4月-2019年11月本院EC患者67例,采用次广泛子宫切除术联合盆腔淋巴结清扫术的27例作为对照组,采用腹腔镜下保留盆腔自主神经广泛子宫切除联合盆腔淋巴结清扫术的40例作为研究组。对比两组围术期情况(手术时间、术中出血量、术后排气时间、住院时间)及治疗前后尿动力学指标(膀胱顺应性、最大尿流率),统计两组直肠感觉阈值、直肠肛门抑制反射消失率。结果:研究组术中出血量较对照组少,术后排气时间早于对照组,住院时间较对照组短(P<0.05);术后3个月,研究组膀胱顺应性、最大尿流率较对照组高(P<0.05);研究组直肠感觉阈值较对照组低(P<0.05);研究组直肠肛门抑制反射消失率为2.50%(1/40),对照组为7.41%(2/27),差异无统计学意义(P>0.05)。结论:腹腔镜下保留盆腔自主神经广泛子宫切除联合盆腔淋巴结清扫术治疗EC患者,可减少术中出血量,降低对膀胱功能、直肠功能的影响,加快患者术后康复进程。
Objective:To analyze the clinical effect of laparoscopic nerve-sparing radical hysterectomy combined with pelvic lymph node dissection in the treatment of endometrial carcinoma(EC).Method:A retrospective analysis of 67 cases of EC patients in our hospital from April 2017 to November 2019 was performed.Twenty-seven cases of subextensive hysterectomy combined with pelvic lymph node dissection were used as the control group,and 40 cases of laparoscopic nerve-sparing radical hysterectomy combined with pelvic lymph node dissection were used as the study group.Perioperative conditions(operation time,amount of intraoperative bleeding,postoperative exhaust time,hospital stay)and urodynamic indicators(bladder compliance,maximum urine flow rate)before and after treatment were compared between the two groups,and the rectum sensory threshold and rectum and anus inhibitory reflex disappearance rate were calculated.Result:The amount of intraoperative bleeding in the study group was less than that in the control group,the postoperative exhaust time in the study group was earlier than that in the control group,the hospital stay in the study group was shorter than that in the control group(P<0.05).Three months after the operation,the bladder compliance and the maximum urine flow rate of the study group were higher than those of the control group(P<0.05).The rectal sensory threshold of the study group was lower than that of the control group(P<0.05).The disappearance rate of rectal and anal inhibitory reflex was 2.50%(1/40)in the study group and 7.41%(2/27)in the control group,there was no significant difference(P>0.05).Conclusion:Laparoscopic nerve-sparing radical hysterectomy combined with pelvic lymph node dissection for EC patients can reduce intraoperative bleeding,reduce the impact on bladder and rectum functions,and speed up the postoperative recovery of patients.
作者
黄晓红
邹辉
HUANG Xiaohong;ZOU Hui(The First People's Hospital of Xiaogan City,Xiaogan 432000,China)
出处
《中外医学研究》
2020年第33期25-27,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
