Analysis of the Therapeutic Effect of Pelvic Autonomic Nerve Preservation Radical Surgery Based on Membrane Anatomy Theory on Cervical Cancer and the Influencing Factors of Postoperative Pelvic Floor Muscle Dysfunction Disease
Objective To analyze and compare the postoperative effects of two types of radical surgery for cervical cancer based on membrane anatomy theory:pelvic autonomic nerve preservation radical surgery (NSRH) and extensive hysterectomy (RH),as well as the influencing factors of postoperative pelvic floor muscle dysfunction (PFD) in patients. Methods 102 patients with stage ⅠB1～Ⅱ A1 cervical squamous cell carcinoma admitted for treatment from January 2022 to December 2023 were selected as the study subjects. According to the surgical method,they were divided into an experimental group of 48 cases (Open NSRH based on membrane anatomy theory) and a control group of 54 cases (RH). The two groups were compared with the surgery-related conditions,postoperative colorectal function recovery,postoperative complications,and factors affecting PFD. Results The hospitalization time of the experimental group was shorter than that of the control group (P<0.05),and the experimental group had lower intraoperative bleeding volume,shorter indwelling catheter time,shorter anal emptying time,and shorter postoperative defecation time compared to the control group,with statistical differences (P<0.05). There was 1 case of surgical infection and 16 cases of PFD in the experimental group. There was 1 case of intestinal obstruction,2 cases of lymph node cysts,1 case of bladder injury,and 37 cases of PFD in the control group. The incidence of PFD in the experimental group was lower than that in the control group (P<0.05). A total of 53 cases of PFD occurred in 102 patients after surgery,and the factors affecting the occurrence of PFD were menopause,tumor diameter,indwelling catheter time,number of pregnancies,and surgical method (P<0.05). Menopause,duration of indwelling catheters,number of pregnancies,and surgical methods are independent risk factors for postoperative PFD in patients. Conclusion Based on the theory of membrane anatomy,open abdominal NSRH has better postoperative indicators than RH,and the incidence of PFD is lower than RH. Menopause,prolonged indwelling catheterization,multiple pregnancies,and surgical methods are independent risk factors for PFD.
万方数据
维普
