Long-term effects of pelvic autonomic nerve preservation on anorectal function after radical hysterecto-my
10.3760/cma.j.issn.1008-6315.2016.09.019
- VernacularTitle:保留盆腔自主神经对根治性子宫切除术后肛门直肠功能的长期影响
- Author:
Yi LU
;
Wei LI
;
Cong CHEN
;
Xueqing WU
- Publication Type:Journal Article
- Keywords:
Uterine cervical carcinoma;
Pelvic autonomic nerve;
Radical hysterectomy;
Anorec-tal function
- From:
Clinical Medicine of China
2016;32(9):833-836
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the long?term effect of nerve?spring radical hysterectomy( NSRH) on anorectal function after radical hysterectomy. Methods Fifty?six cases of uterine cervical carcinoma patients who met the criteria were selected for the study and were randomly divided into RH group and NSRH group. Defecation functional and anorectal manometry were compared at 1 year after surgery. Results There were 2 patients were excluded both in the two groups, and 26 cases were included in the follow up of each group. Compared with RH group, NSRH group had a lower constipation and chronic diarrhea incidence ( 2 (7. 7%),8(30. 8%);1(3. 8%),6(23. 1%);χ2=4. 457,4. 127P<0. 05),a better self?evaluation bowel func?tion(no significant change:10(38. 5%),5(19. 2%);poor:7(26. 9%),3(11. 5%);very poor:9(34. 6%),18 (69. 2%);χ2=6. 267,P=0. 044;P<0. 05),a higher level of maximal anal squeeze pressure((132. 7±43. 6) mmHg,(119. 5±45. 3) mmHg;t=2. 116,P<0. 05),a lower level of threshold perception of distension((38. 6 ±10. 5) mmHg,(45. 8±12. 4) mmHg;t=2. 326,P<0. 05) and threshold perception of evacuative stimulus ((78. 3±33. 2) mmHg,(90. 6±40. 9) mmHg;t=2. 208,P<0. 05). Conclusion RH may cause more serious long?term anorectal dysfunction,while NSRH help to protect defecation function.
