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目的探讨保留盆腔自主神经的腹腔镜根治性子宫切除术的方法及其对降低术后膀胱功能障碍的作用。方法2008年5月至2009年6月应用根据盆腔自主神经的标志性结构进行解剖分离神经的方法,对中国医科大学盛京医院6例宫颈癌患者在腹腔镜下实施保留盆腔自主神经根治性子宫切除术,并观察术中的出血量、手术时间及术后膀胱功能恢复情况等指标。结果6例病人的平均手术时间为280min,平均出血量为385mL,术后残余尿量≤50mL的平均时间为9.5d(5～15d)。结论在腹腔镜下可成功完成保留盆腔自主神经的根治性子宫切除术,其对于降低手术对膀胱功能的损伤、促进术后膀胱功能的恢复具有重要意义。
Objective To investigate the method of laparoscopic radical hysterectomy for preserving pelvic autonomic nerve and its effect on reducing postoperative bladder dysfunction. Methods From May 2008 to June 2009, according to the landmark structure of pelvic autonomic nerve for dissecting the nerve, 6 cases of cervical cancer from Shengjing Hospital of China Medical University underwent laparoscopic resection of pelvic autonomic nerve preservation Resection and observation of intraoperative blood loss, operation time and postoperative bladder function recovery and other indicators. Results The average operation time of 6 patients was 280min, the average amount of bleeding was 385mL. The average postoperative residual urine output ≤ 50mL was 9.5d (5 ~ 15d). Conclusions Laparoscopic radical hysterectomy for preserving the pelvic autonomic nerve can be successfully performed, which is of great significance for reducing the damage of bladder function and promoting the recovery of postoperative bladder function.