中文摘要：

目的：探讨系统保留盆腔自主神经广泛子宫切除术治疗宫颈癌及子宫内膜癌的临床效果及安全性。方法：收集2013年6月至2014年6月我院收治的宫颈癌和子宫内膜癌患者82例,将其随机分为观察组与对照组,每组各41例。观察组行系统保留盆腔自主神经的广泛子宫切除术,对照组行传统根治性子宫切除术,比较两组的手术时间、术中出血量、术后拔除尿管时间、残余尿量、术后排气以及排便时间以及术中及术后并发症的发生情况。结果：两组的手术时间及术中出血量比较无明显差异（P〉0.05）,但观察组的术后拔管时间、尿残余量、排气及排便时间均较对照组显著缩短或降低（P〈0.05）。两组的手术并发症主要包括便秘、血便、腹泻、尿路感染、尿失禁、尿频尿急,观察组并发症的总发生率较对照组显著降低（P〈0.05）。结论：广泛子宫切除术中系统保留盆腔自主神经有利于保护宫颈癌及子宫内膜癌患者的膀胱和直肠功能,降低手术相关并发症,提高患者的术后康复质量与生活质量。

英文摘要：

Objective： To investigate the clinical effect and security of systematic pelvic autonomic nerve-sparing radical hysterectomy on cervical and endomelrial cancer. Methods： Eighty-two cases of patients with cervical and endometrial cancer admitted in our hospital from June 2013 to June 2014 were selected and randomly divided into the observation group and control group, 41 cases in each group. The observation group underwent systematic pelvic autonomic nerve-sparing radical hysterectomy, while the control group underwent conventional radical hysterectomy. The operative time, intraoperative blood loss, removal time, residual urine, exsufflation, bowels time as well as the incidence of operative complications between two groups were compared and analyzed. Results： There was no significant difference in the operative time and blood loss between the two groups （P〉 0.05）, but the extubation time, residual urine volume, exhaust and defecation time of observation group were significantly lower than those in the control group （P〈0.05）; the incidence of complications including constipation, bloody stool, diarrhea, urinary tract infection, uracratia, urinary frequency and urgency in the observation group was 12.20%, which was significantly lower than 36.59% in the control group （P〈0.05）. Conclusions： Systematic pelvic autonomic nerve-sparing radical hysterectomy could protect the bladder and rectum function of patients with cervical and endometrial cancer, reduce surgery-related complications, improve the quality of postoperative rehabilitation and quality of life, which could be widely applied.