針刺治療宮頸癌術(shù)后尿潴留的臨床療效觀察

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1、授予單位代碼１００８９１學號或申請?zhí)枺墸保常玻叮矗崳姡朔值赙娚?、適ＨｅｂｅｉＭｅｄｉｃａｌＵｎｉｖｅｒｓｉｔｙ碩±學位論文在職科學學位針刺治療宮頸癌術(shù)后尿銷留的臨床療效觀察學位申請人；沈志全導師：趙志國教授專業(yè)：針灸推拿學二級學院：中醫(yī)學院２０１５年１０月巧化蔭科大學學位論文使用援權(quán)及知巧產(chǎn)巧巧罵承諾本學位論文在導師（或稽導小組）的指導下，扭本人獨立完成。本學位論文研究所獲得的研究成果，其知識產(chǎn)極歸河化醫(yī)科大學所有。河北醫(yī)科大學有權(quán)對本學位論文譴行交流、公開和使用。凡發(fā)衰…著名為單位河北區(qū)

2、科大學與學位論文主要巧容相關(guān)的論文，第，試驗材料、申報的專利等知識產(chǎn)權(quán)均歸河北醫(yī)科大學巧、原始數(shù)據(jù)■有。。否則，承擔相應法律責巧硏究生簽名師簽章二綴學臨領(lǐng)導盞葦：ｉ尸軍Ｉ巧ｗ曰河化醫(yī)科大學研究生學位論文獨創(chuàng)性聲明本論文是在辱師指導下進巧的研究工作雙取得的硏究成果，除了文中特別加標法巧致謝等內(nèi)容外，文中不包含其他人邑經(jīng)發(fā)表或撰寫的研究成果，指導教腑對此進巧了審定。本論文由本人獨立撰寫，文責自負。研究生簽名；導師簽章；７＾）中年／／月日目錄中文摘要···································

3、···········································1英文摘要··············································································4研究論文針刺治療宮頸癌術(shù)后尿潴留的臨床療效觀察前言··············································································10材料與方法·················································

4、····················10結(jié)果··············································································15附表··············································································17討論··············································································20結(jié)論················

5、······························································23參考文獻········································································24綜述宮頸癌術(shù)后尿潴留的研究概述···········································26致謝··················································································

6、··35個人簡歷··············································································36中文摘要針刺治療宮頸癌術(shù)后尿潴留的臨床療效觀察摘要目的：宮頸癌作為婦科惡性腫瘤之一，近年來發(fā)病率不斷升高，僅次于乳腺癌排第二位。目前，腹膜外盆腔淋巴結(jié)清掃術(shù)加廣泛性子宮切除術(shù)是治療早中期宮頸癌最有效的方法。由于手術(shù)切除范圍廣，不可避免損傷到支配膀胱的神經(jīng)和血管，導致膀胱逼尿肌的收縮無力，減弱排尿功能，形成尿潴留的并發(fā)癥，據(jù)報導其發(fā)生率為7.5%-44.9%。目前國內(nèi)外對于宮頸癌根治術(shù)后膀胱功能

7、障礙的發(fā)生機制及轉(zhuǎn)歸情況的研究手段，主要采用尿動力學檢查，它能直觀、量化反映膀胱功能和尿道功能，為臨床評估疾病治療與轉(zhuǎn)歸提供客觀依據(jù)。因此在本次實驗當中采用了尿動力學檢查對術(shù)后尿潴留患者進行膀胱功能的評估，并對治療機理進行探討。目前對于宮頸癌術(shù)后尿潴留這一并發(fā)癥西醫(yī)沒有療效確切的藥物治療方法，主要采用留置尿管和膀胱沖洗的方法預防膀胱感染，等待膀胱功能的自行恢復，但此方法對很多頑固性術(shù)后尿潴留患者臨床效果不甚理想，以致患者需長期佩戴尿管，嚴重影響其生存質(zhì)量。加之由于術(shù)后尿潴留病人需要長期留置尿管，反復插管，易繼發(fā)泌尿系統(tǒng)感染，加重患者心理負擔，影響身體恢復和后續(xù)治