Changes of urinary function after nerve-sparing radical hysterectomy for cervical cancer
10.3760/cma.j.issn.1673-4904.2010.30.003
- VernacularTitle:保留盆腔自主神经的宫颈癌广泛性子宫切除术对术后排尿功能的影响
- Author:
Xiaoqin ZOU
;
Youqiong HUANG
;
Peishan CHEN
;
Tian HUANG
;
Danyan LI
- Publication Type:Journal Article
- Keywords:
Uterine cervical neoplasms;
Hysterectomy;
Autonomic nervous system
- From:
Chinese Journal of Postgraduates of Medicine
2010;33(30):5-7
- CountryChina
- Language:Chinese
-
Abstract:
Objective To retrospectively compare analysis of two kinds of surgery which were nerve-sparing radical hysterectomy (NSRH) and the traditional radical hysterectomy (RH) for cervical cancer was done to find out the effect on urinary function in postoperative patients. Methods Among 57cervical cancer with clinical stage Ⅰ B1- Ⅱ A 31 cases treated with NSRH,26 cases treated with RH. The postoperative bladder function of the two methods were evaluated, and postoperative recovery of urinary function and postoperative recurrence of tumor were compared. Results The period of indwelling catheter for the postoperative patients with NSRH was (8.5 ± 3.2) days, obviously less than that for traditional RH patients which was ( 12.8 ± 3.8) days. The difference was statistically significant(P < 0.01 ). And two methods of postoperative patients were alive without tumor recurrence and metastasis after 1-4 years follow-up.Conclusions NSRH is better than traditional RH in remaining pelvic autonomic nervous system and improving the early urinary function of postoperative patients of cervical cancer. Otherwise, it doesn't effect the radical cure of tumor.
