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| 系统保留盆腔自主神经广泛性子宫切除术的临床观察 | |
| 引用本文： | 陈贵芹,张雪玉,高生情,刘瑞,刘莉莉,张咏梅,陈春林.系统保留盆腔自主神经广泛性子宫切除术的临床观察[J].现代妇产科进展,2010,19(1). |
| 作者姓名： | 陈贵芹 张雪玉 高生情 刘瑞 刘莉莉 张咏梅 陈春林 |
| 作者单位： | 1. 宁夏医科大学,银川,750004 2. 宁夏医科大学附属医院妇科 3. 南方医科大学南方医院妇产科 |
| 摘 要： | 目的:探索系统保留盆腔自主神经的广泛性子宫切除术(systematic nerve sparing radical hysterectomy,SNSRH)对术后膀胱、直肠及性功能的保护作用。方法:选取2007年11月~2009年4月宁夏医科大学附属医院收治的44例宫颈癌及子宫内膜癌患者,A组24例行SNSRH,B组20例行传统根治性子宫切除术,观察SNSRH成功率,两组术后膀胱、直肠和性功能情况。结果:(1)A、B两组严格遵循Ⅲ型子宫切除术标准,手术切除范围无差异;(2)30例行SNSRH,成功保留盆腔自主神经(PAN)24例,失败6例,成功率80%;(3)A、B组平均手术时间、术中出血量差异无统计学意义;A、B组平均留置尿管时间、术后残余尿量、排气排便时间差异有统计学意义(P0.05);(4)A组术后性功能障碍发生率明显低于B组,差异有统计学意义(P0.05)。结论:系统保留PAN的广泛性子宫切除术对术后膀胱、直肠及性功能的恢复有一定的保护作用。 |
| 关 键 词： | 宫颈肿瘤 子宫内膜肿瘤 子宫切除术 盆腔自主神经 |
Preliminary clinical study of systematic nerve-sparing radical hysterectomy |
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| Chen Guiqin,Zhang Xueyu,Gao Shengqing,et al..Preliminary clinical study of systematic nerve-sparing radical hysterectomy[J].Current Advances In Obstetrics and Gynecology,2010,19(1). | |
| Authors: | Chen Guiqin Zhang Xueyu Gao Shengqing |
| Institution: | Chen Guiqin1,Zhang Xueyu2,Gao Shengqing1,et al.1.Ningxia Medical University,Yinchuan 750004,2.Department of Gynecology,the Affiliated Hospital of Ningxia Medical University |
| Abstract: | Objective:To investigate the feasibility of the technique for sparing the pelvic autonomic nerve(PAN)on postsurgical bladder,rectum and sexual function.Methods:Forty four cases of cervical cancer and endometrial cancer patients between November 2007 and April 2009 in Ningxia Medical University Hospital were selected.All cases were divided into two groups(group A and B).24 cases of group A underwent SNSRH and 20 cases of group B underwent radical hysterectomy.The success rate of SNSRH and their bladder,rectu... |
| Keywords: | Cervical neoplasms Endometrial neoplasms Hysterectomy Pelvic autonomic nerve |
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