腹腔镜下保留盆腔自主神经广泛性子宫切除术对盆底功能的影响

赵娜; 曹莉莉; 方露雪; 徐惠成

doi:10.16016/j.1000-5404.201611035

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腹腔镜下保留盆腔自主神经广泛性子宫切除术对盆底功能的影响

更新时间：2026-01-09

- 腹腔镜下保留盆腔自主神经广泛性子宫切除术对盆底功能的影响
- Effect of laparoscopic nerve-sparing radical hysterectomy on pelvic floor functions: report of 138 cervical cancer cases
- 第三军医大学学报 2017年39卷第7期页码：691-695
- 作者机构：
- 作者简介：
- 基金信息：
- DOI：10.16016/j.1000-5404.201611035
  中图分类号：
- 收稿：2016-11-04，
  
  纸质出版：2017-07
- 稿件说明：
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赵娜, 曹莉莉, 方露雪, 等. 腹腔镜下保留盆腔自主神经广泛性子宫切除术对盆底功能的影响[J]. 第三军医大学学报, 2017,39(7):691-695.

Na Zhao, Lili Cao, Luxue Fang, et al. Effect of laparoscopic nerve-sparing radical hysterectomy on pelvic floor functions: report of 138 cervical cancer cases[J]. Journal of Third Military Medical University, 2017, 39(7): 691-695.
赵娜, 曹莉莉, 方露雪, 等. 腹腔镜下保留盆腔自主神经广泛性子宫切除术对盆底功能的影响[J]. 第三军医大学学报, 2017,39(7):691-695. DOI： 10.16016/j.1000-5404.201611035.

Na Zhao, Lili Cao, Luxue Fang, et al. Effect of laparoscopic nerve-sparing radical hysterectomy on pelvic floor functions: report of 138 cervical cancer cases[J]. Journal of Third Military Medical University, 2017, 39(7): 691-695. DOI： 10.16016/j.1000-5404.201611035.

摘要

Abstract

Objective

To compare the pelvic floor functions in females undergoing laparoscopic nerve-sparing radical hysterectomy (LNSRH) and conventional laparoscopic radical hysterectomy (LRH) for cervical cancer

and determine the effect of LNSRH on the functions.

Methods

A retrospective cohort pilot study was carried out to compare the pelvic floor functions of the patients undergoing LNSRH (

=138

treatment group) with those of LRH (

=138

control group). All these patients were in FIGO stage Ⅰb1~Ⅱa2 and underwent the surgeries in our department from January 2012 to December 2014. The operation time

blood loss

numbers of resected pelvic lymph nodes

length of vagina resection

length of hospital stay and incidence of complications were collected and compared between the 2 groups. The postoperative functions of bladder and rectum

and their quality of life were assessed.

Results

All the patients were performed successfully. No significant differences were observed in terms of mean operation time

blood loss

numbers of resected pelvic lymph nodes

length of vagina resection

mortality and recurrence rates between the 2 groups (

0.05). The length of hospital stay and du

rations for anal exhaust and defecation were shorter

and incidences of urinary (34.8%

71.0%) and digestive complications (21.7%

49.3%) were lower in the LNSRH group than the other group (

0.05). The former group also had notably shorter time of indwelling catheter (mainly 7~14

15 d

0.05)

and higher postoperative scores of the Incontinence Quality of Life Questionnaire (I-QOL) and the Pelvic Floor Impact Questionnaire 7 (PFIQ-7) when compared with the LRH group.

Conclusion

LNSRH is a sound approach in treatment of early-stage cervical cancer

which can protect postoperative pelvic floor functions (bladder and rectum)

and is helpful to improve the quality of life for the patients.

关键词

Keywords

references

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