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宫颈癌广泛切除术,术后尿潴留是该手术最常见的并发症,膀胱的排尿功能主要受盆丛内的副交感神经支配。术中对其损伤程度与手术的范围有密切关系。本文按统计学原则作对照处理进行比较。结果:(1) 排尿功能恢复正常天数,A组(部分保留盆丛)22.09天;B组(相对完整保留盆丛)15.73天;C组(对照组)30.5天。(2) 子宫骶骨韧带切除越宽、越深,残余尿恢复之时间亦越长(p<0.05或p<0.01),与主韧带、阴道切除之多少均无明显关系。本文提出的保留盆丛方法,是减少及预防该手术并发症的有效方法。
Extensive resection of cervical cancer, postoperative urinary retention is the most common complication of the operation, urinary bladder bladder function mainly by the parasympathetic innervation. Intraoperative damage to the extent and scope of surgery are closely related. This article according to the principle of statistics as control treatment for comparison. Results: (1) Urine function returned to normal number of days, which was 22.09 days in group A (part of reserved basin); 15.73 days in group B (relatively intact basin); 30.5 days in group C (control group). (2) The wider and deeper the uterosacral ligament resection, the longer the residual urine recovery time (p <0.05 or p <0.01), and the main ligament, the number of vaginal resection no significant relationship. The method of preserving the plexus presented in this paper is an effective way to reduce and prevent the complications of this operation.