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目的:评估腹腔镜保留盆腔神经的广泛性子宫切除术的临床可行性,及其对膀胱与直肠功能的保护作用。方法:比较行LNSRH与腹腔镜下广泛性子宫切除术(LRH)的宫颈癌患者的术中及术后情况。结果:LNSRH组术后拔除尿管及首次排气时间短于LRH组(P=0.039,P=0.041);两组的手术时间、术中失血量、清扫盆腔淋巴结数、宫旁组织切除长度及阴道切除长度均无显著差异(P>0.05)。结论:LNSRH可在达到治疗效果的基础上促进患者术后膀胱和直肠功能的快速恢复。
OBJECTIVE: To assess the clinical feasibility of laparoscopic radical hysterectomy for pelvic nerve preservation and its protective effect on bladder and rectal function. Methods: We compared the intraoperative and postoperative outcomes of patients with cervical cancer undergoing LNSRH and laparoscopic radical hysterectomy (LRH). Results: The time of extubation and the time of first extubation were shorter in LNSRH group than those in LRH group (P = 0.039, P = 0.041). The operative time, intraoperative blood loss, pelvic lymph node dissection, Vaginal resection length were no significant difference (P> 0.05). Conclusion: LNSRH can promote the rapid recovery of postoperative bladder and rectum after achieving the therapeutic effect.