保留神经平面子宫广泛性切除术对宫颈癌患者预后影响观察(1)
【摘要】目的：评价与分析子宫颈癌患者应用保留神经平面子宫广泛性切除术治疗对临床疗效及预后影响。方法：本次选择我院所收治66例子宫颈癌患者进行研究，并按照随机抽签法分为对照组与治疗组。对照组采用传统根治术治疗，治疗组采用保留神经平面子宫广泛性切除术治疗。比较治疗组与对照组两组患者术前、后4dCD4/CD8水平、IgG表达情况、平均术中出血量、手术和术后肛门排气及自主下床活动时间等。结果：治疗组与对照组两组患者手术和术后自主下床活动及留置尿管、平均住院时间比较(P<005)。而治疗组与对照组两组术中出血量比较(P>005)。治疗组与对照组两组患者术后并发症及发热情况(P<005)；治疗组与对照组两组术后4dCD4/CD8水平、IgG表达水平比较(P<005)。结论：相比传统开腹手术来说，采用保留神经平面子宫广泛性切除术治疗子宫颈癌患者可加速患者膀胱功能恢复，促进患者及早下床活动，减少便秘等发生，进而改善患者膀胱及直肠功能，提高患者免疫力，缩短患者住院时间。
【关键词】保留神经平面子宫广泛性切除术；子宫颈癌；传统手术
Prognosis effect evaluation of retention nerve plane uterus extensive resection on the patients with cervical cancerLI Xian， WU Xiaoling， ZHOU Mei. Department ofObstetrics and Gynecology， The No.187 Centre Hospital of People's Liberation Army， Haikou 571159， Hainan， China
【Abstract】Objectives： To evaluate and analyze prognosis effect of retention nerve plane uterus extensive resection on the patients with cervical cancer. Methods： 66 cases of cervical carcinoma treated in our hospital were selected in this study. They were randomly divided into control group and treatment group. The control group received traditional radical surgery treatment； treatment group received nerve sparing plane extensive resection. 4dCD4/CD8 levels， the expression of IgG， average operation time， intraoperative bleeding volume， postoperative anus exhaust and independent ambulation time of the two groups before and after the operation were compared. Results： The average time， independent ambulation and indwelling catheter and the average hospitalization time of two groups of patients after operation had significant differences (P<005)； the amount of intraoperative bleeding of the two group had no significant difference (P>005). Postoperative complications and fever of the two groups had significant differences， (P<005). 4dCD4/CD8 levels and the expression of IgG of the two groups had significant differences (P<005). Conclusions： Compared with the traditional open operation， the nerve sparing plane uterus extensive resection for the treatment of patients with cervical cancer can accelerate the recovery of bladder function， facilitate ambulation of patients， reduce constipation occurrence， improve the bladder and rectal function and immunity and reduce hospitalization time.
【Key words】Nerve sparing plane uterus extensive excision； Cervical cancer； Traditional operation
【中图分类号】R167【文献标志码】A
临床上，子宫颈癌是一种常见性妇科恶性肿瘤，这种疾病具有较高死亡率和发病率[1]。近年来，随着人们生活水平的不断提高，人们生活饮食结构和方式也随之发生变化，子宫颈癌发病人数也逐年增加[2]。以往均采用传统开腹手术治疗，但因患者本身机体存在一定差异性，同时受到年龄等各因素影响，使得患者术后恢复较慢，同时影响患者膀胱及直肠功能，严重影响患者术后生活质量[3]。同时部分患者因难以接受巨大手术创伤而死亡。随着医学技术快速发展与进步，采用保留神经平面子宫广泛性切除术治疗，可有效改善患者膀胱等功能。本次为了分析保留神经平面子宫广泛性切除术治疗子宫颈癌患者临床效果，我院对收治子宫颈癌患者采用不同手术方式治疗，报道如下。, 百拇医药(李弦 吴晓玲 周美)
【关键词】保留神经平面子宫广泛性切除术；子宫颈癌；传统手术
Prognosis effect evaluation of retention nerve plane uterus extensive resection on the patients with cervical cancerLI Xian， WU Xiaoling， ZHOU Mei. Department ofObstetrics and Gynecology， The No.187 Centre Hospital of People's Liberation Army， Haikou 571159， Hainan， China
【Abstract】Objectives： To evaluate and analyze prognosis effect of retention nerve plane uterus extensive resection on the patients with cervical cancer. Methods： 66 cases of cervical carcinoma treated in our hospital were selected in this study. They were randomly divided into control group and treatment group. The control group received traditional radical surgery treatment； treatment group received nerve sparing plane extensive resection. 4dCD4/CD8 levels， the expression of IgG， average operation time， intraoperative bleeding volume， postoperative anus exhaust and independent ambulation time of the two groups before and after the operation were compared. Results： The average time， independent ambulation and indwelling catheter and the average hospitalization time of two groups of patients after operation had significant differences (P<005)； the amount of intraoperative bleeding of the two group had no significant difference (P>005). Postoperative complications and fever of the two groups had significant differences， (P<005). 4dCD4/CD8 levels and the expression of IgG of the two groups had significant differences (P<005). Conclusions： Compared with the traditional open operation， the nerve sparing plane uterus extensive resection for the treatment of patients with cervical cancer can accelerate the recovery of bladder function， facilitate ambulation of patients， reduce constipation occurrence， improve the bladder and rectal function and immunity and reduce hospitalization time.
【Key words】Nerve sparing plane uterus extensive excision； Cervical cancer； Traditional operation
【中图分类号】R167【文献标志码】A
临床上，子宫颈癌是一种常见性妇科恶性肿瘤，这种疾病具有较高死亡率和发病率[1]。近年来，随着人们生活水平的不断提高，人们生活饮食结构和方式也随之发生变化，子宫颈癌发病人数也逐年增加[2]。以往均采用传统开腹手术治疗，但因患者本身机体存在一定差异性，同时受到年龄等各因素影响，使得患者术后恢复较慢，同时影响患者膀胱及直肠功能，严重影响患者术后生活质量[3]。同时部分患者因难以接受巨大手术创伤而死亡。随着医学技术快速发展与进步，采用保留神经平面子宫广泛性切除术治疗，可有效改善患者膀胱等功能。本次为了分析保留神经平面子宫广泛性切除术治疗子宫颈癌患者临床效果，我院对收治子宫颈癌患者采用不同手术方式治疗，报道如下。, 百拇医药(李弦 吴晓玲 周美)