目的：探讨腹腔镜下子宫颈癌保留盆腔自主神经子宫切除术的可行性。方法：选取本院48例子宫颈癌患者，按随机数字表法均分为对照组和试验组。对照组患者行腹腔镜下子宫切除手术，试验组患者行腹腔镜下子宫颈癌保留盆腔自主神经子宫切除术。观察两组患者手术情况，比较两组患者手术时间、术中出血量、阴道切除长度、住院时间、术后治疗率及术后膀胱功能差异。结果：试验组术中出血量、术后住院时间和术后治疗率均明显低于对照组，两组比较差异有统计学意义（P<0.05）；试验组手术时间、阴道切除长度数值稍低于对照组，两组比较差异无统计学意义（P>0.05）；试验组患者术后膀胱功能恢复优于对照组（P<0.05）。结论：腹腔镜下保留盆腔自主神经子宫切除术治疗子宫颈癌安全可行，可降低手术对膀胱的损伤，能够保证患者术后的生活质量，值得临床推广使用。%Objective:To investigate the feasibility of laparoscopic nerve sparing radical hysterectomy for the treatment of cervical cancer. Method:48 cases with cervical cancer in our hospital were divided into experimental group(underwent laparoscopic nerve sparing radical hysterectomy) and control group(underwent laparoscopic hysterectomy)according to random number table method. The operation time,bleeding volume,vaginal resection length,length of stay,postoperative treatment rates and bladder function of two groups were compared. Result:The bleeding volume,length of stay,postoperative treatment rates of the experimental group were significantly lower than the control group(P<0.05). The operation time,vaginal resection length of experimental group were slightly lower than the control group(P>0.05). The bladder function recovery of the experimental group was better than the control group(P<0.05). Conclusion:Laparoscopic nerve sparing radical hysterectomy is safe and feasible for the treatment of cervical cancer. It’s better than laparoscopic hysterectomy and worthy of wider application.
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