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| The effect of laparoscopic pelvic autonomic nerve-preserving extensive hysterectomy for cervical cancer |
| ZHENG Zhi-ping ZENG Yu-fei ZHENG De-mei |
| Department of Obstetrics and Gynecology, the Fifth People′s Hospital of Shangrao City, Jiangxi Province, Shangrao 334000, China |
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Abstract Objective To explore the effect of laparoscopic pelvic autonomic nerve-preserving extensive hysterectomy on patients with cervical cancer. Methods A total of 70 patients with cervical cancer admitted to the Fifth People′s Hospital of Shangrao City from February 2017 to June 2019 were selected and divided into the control group (35 cases)and the observation group (35 cases) according to the random number table method.The control group received extensive hysterectomy under traditional laparoscopic surgery treatment, and the observation group received laparoscopic extensive hysterectomy with preserving pelvic autonomic nerve treatment. The postoperative follow-up time was 7 days.The surgery related conditions, postoperative urodynamic indexes, postoperative bladder function, postoperative rectal function before and after treatment were compared between the two groups. Results The time of operation in the observation group was longer than that of the control group, and the time of hospital stay in the observation group was shorter than that of the control group, the differences were statistically significant (P<0.05). After the surgery, the frequency of urination daily in the observation group was less than that of the control group, the difference was statistically significant (P<0.05). After the surgery, the residual urine volume, the bladder capacity during initial urge to urinate, and the bladder capacity at initial urinary intention in the observation group were smaller than those of the control group, the maximum urination volume daily in the observation group were greater than those of the control group, the differences were statistically significant (P<0.05). After the surgery, the incidences of abdominal pressure, urinary retention, bladder dysfunction, and urinary incontinence in the observation group was lower than that of the control group, the differences were statistically significant (P<0.05). After the surgery, the defecation time and exhaust time in the observat ion group was shorter than that of the control group, and the differences were statistically significant (P<0.05). There were no statistically significant in vaginal resection length and intraoperative blood loss between the two groups (P>0.05). Conclusion Laparoscopic pelvic autonomic nerve-preserving extensive hysterectomy has little effect on the patient′s urinary tract function, tectal function, bladder function in the treatment of cervical cancer, the patient′s hospital stay is short, and the treatment effect is better.
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