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目的:观察根治性子宫切除术中系统保留盆腔自主神经(PAN)的临床效果。方法:将广泛子宫切除术的患者共40例随机分为观察组22例和对照组18例,对照组行传统的经腹广泛性子宫切除术,观察组行系统保留盆腔自主神经的广泛性子宫切除术,随访1年,比较2组膀胱功能障碍、直肠功能障碍和性功能障碍发生情况。结果:观察组患者的膀胱功能障碍、直肠功能障碍及性功能障碍的发生率均低于对照组(均P<0.05)。结论:系统保留盆腔自主神经的广泛性子宫切除术更好地保留了患者的膀胱功能、直肠功能及性功能,提高了患者生存质量。
Objective: To observe the clinical effect of preserving pelvic autonomic nerve (PAN) in radical hysterectomy. Methods: Forty patients with extensive hysterectomy were randomly divided into observation group (n = 22) and control group (n = 18). The control group underwent conventional transabdominal general hysterectomy. The observation group received systematic extensive pelvic autonomic uterus The patients were followed up for 1 year. The bladder dysfunction, rectal dysfunction and sexual dysfunction were compared between the two groups. Results: The incidences of bladder dysfunction, rectal dysfunction and sexual dysfunction in observation group were lower than those in control group (all P <0.05). CONCLUSION: The extensive hysterectomy that preserves the pelvic autonomic nerves retains the bladder, rectum and sexual functions and improves the quality of life of patients.