|
|
|
| Efficacy of different extensive hysterectomy under laparoscopy for treating patients with early cervical cancer and its effects on the postoperative recovery of the patients |
| Guang'an City People's Hospital, Guang'an, Sichuan Province, 638000 |
|
|
|
Abstract To investigate the efficacy of laparoscopic nervesparing radical hysterectomy (LNRSH) with preserving pelvic nerve and traditional laparoscopic pradical hysterectomy (LRH) without preserving pelvic nerve for treating patients with early cervical cancer nerve, and to study their effects on the postoperative bladder function, rectal function, and quality of sexual life of the these patients. Methods: The clinical data of 80 patients with early cervical cancer from January 2018 to December 2021 were collected retrospectively. These patients were divided into group A (36 patients with LNRSH) and group B (44 patients with LRH) according to different surgical methods. The clinical efficacy, surgical conditions, and postoperative recovery of the patients were compared between the two groups. Results: The operation time (247.6±46.6min) of the patients in group A was significantly longer than that (212.5±37.5min) of the patients in group B (P<0.05), the amount of intraoperative blood loss and the length of vaginal resection of the patients had no significant different between the two groups (P>0.05). The time of catheter used (11.3±2.2d), the exhaust time (2.4±0.3d), and the defecation time (3.7±0.4d) of the patients in group A were significantly shorter than those (13.6±2.6d, 2.8±0.5d, and 4.5±0.4 d) of the patients in group B. The rate of catheter removal (63.9%) of the patients in group A in the 10th day after surgery was significantly higher than that (40.9%) of the patients in group B. The incidences of urinary retention (2.8%), diarrhea (11.1%), and tenesmus (5.6%) of the patients in group A in the 10th day after surgery were significantly lower than those (16.7%, 29.6%, and 22.7%) of the patients in group B. The scores of the different dimensionality of FSFI of the patients in group A in the 6th month after surgery were significantly higher than those of the patients in group B. The total score of FSFI (24.8±6.5 points) of the patients in group A in the 6th month after surgery was significantly higher than that (22.5±4.2 points) of the patients in group B. The incidence of sexual dysfunction (41.7%) of the patients in group A in the 6th month after surgery was significantly lower than that (75.0%) of the patients in group B (all P<0.05). Conclusion: The effect of LNRSH for treating the patients with early cervical cancer is similar to that of LRH, and which has less influence on the postoperative bladder function, the rectal function, and the quality of sexual life of the patients.
|
|
|
|
|
|
|
|
|
