| 摘要: |
| 目的探讨保留盆腔自主神经的根治性子宫切除术（NSRH）对术后长期肛门直肠功能的影响。方法选择符合条件的56例宫颈癌患者为研究对象，采用随机数字表法将患者分为根治性子宫切除术（RH）组和NSRH组各28例。术后1年对两组患者进行排便功能评估和肛管直肠测压比较。结果与RH组相比，NSRH组便秘和慢性腹泻发生率均明显降低，排便功能自我评价较好，肛管最大缩榨压较高，初始感觉阈值和初始排便阈值较低，两组比较差异均有统计学意义（均P＜0.05）。结论RH会导致更为严重的长期肛门直肠功能紊乱，NSRH更有助于保护排便功能。 |
| 关键词: 宫颈癌 盆腔自主神经 根治性子宫切除术 肛门直肠功能 |
| DOI：10.12056/j.issn.1006-2785.2017.39.10.2016-782 |
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| Long-term effect of nerve-sparing radical hysterectomy on anorectal function |
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HU Feijun, QI Weizhen, WU Yandan, LU Yi, LI Wei
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Dongyang People's Hospital
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| Abstract: |
| Objective To investigate the effect of nerve-sparing radical hysterectomy (NSRH) on long-term anorectal function. Methods Fifty six patients with uterine cervical carcinoma were randomly divided into radical hysterectomy (RH) group and NSRH group. The defecation function and anorectal manometry results were compared between two groups at 1 year after surgery. Results Compared with RH group, NSRH group had a lower incidence of constipation and chronic diarrhea, a better
self-evaluation bowel function, a higher level of maximal anal squeeze pressure and a lower threshold of distension perception and lower threshold of evacuative stimulus perception (all P＜0.05). Conclusion RH may cause more serious long-term anorectal dysfunction, and NSRH can alleviate thedysfunction ofdefecation. |
| Key words: Uterine cervical carcinoma Pelvic autonomic nerve Radical hysterectomy Anorectal function |
