针刺治疗宫颈癌术后尿潴留的临床疗效观察

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1、授予单位代码１００８９１学号或申请号１３２６４Ｋ分店钟少、适ＨｅｂｅｉＭｅｄｉｃａｌＵｎｉｖｅｒｓｉｔｙ硕±学位论文在职科学学位针刺治疗宫颈癌术后尿銷留的临床疗效观察学位申请人；沈志全导师：赵志国教授专业：针灸推拿学二级学院：中医学院２０１５年１０月巧化蔭科大学学位论文使用援权及知巧产巧巧罵承诺本学位论文在导师（或稽导小组）的指导下，扭本人独立完成。本学位论文研究所获得的研究成果，其知识产极归河化医科大学所有。河北医科大学有权对本学位论文谴行交流、公开和使用。凡发衰…著名为单位河北區

2、科大学与学位论文主要巧容相关的论文，第，试验材料、申报的专利等知识产权均归河北医科大学巧、原始数据■有。。否则，承担相应法律责巧硏究生签名师签章二缀学臨领导盏葦：ｉ尸军Ｉ巧ｗ曰河化医科大学研究生学位论文独创性声明本论文是在辱师指导下进巧的研究工作双取得的硏究成果，除了文中特别加标法巧致谢等内容外，文中不包含其他人邑经发表或撰写的研究成果，指导教腑对此进巧了审定。本论文由本人独立撰写，文责自负。研究生签名；导师签章；７＾）中年／／月日目录中文摘要···································

3、···········································1英文摘要··············································································4研究论文针刺治疗宫颈癌术后尿潴留的临床疗效观察前言··············································································10材料与方法·················································

4、····················10结果··············································································15附表··············································································17讨论··············································································20结论················

5、······························································23参考文献········································································24综述宫颈癌术后尿潴留的研究概述···········································26致谢··················································································

6、··35个人简历··············································································36中文摘要针刺治疗宫颈癌术后尿潴留的临床疗效观察摘要目的：宫颈癌作为妇科恶性肿瘤之一，近年来发病率不断升高，仅次于乳腺癌排第二位。目前，腹膜外盆腔淋巴结清扫术加广泛性子宫切除术是治疗早中期宫颈癌最有效的方法。由于手术切除范围广，不可避免损伤到支配膀胱的神经和血管，导致膀胱逼尿肌的收缩无力，减弱排尿功能，形成尿潴留的并发症，据报导其发生率为7.5%-44.9%。目前国内外对于宫颈癌根治术后膀胱功能

7、障碍的发生机制及转归情况的研究手段，主要采用尿动力学检查，它能直观、量化反映膀胱功能和尿道功能，为临床评估疾病治疗与转归提供客观依据。因此在本次实验当中采用了尿动力学检查对术后尿潴留患者进行膀胱功能的评估，并对治疗机理进行探讨。目前对于宫颈癌术后尿潴留这一并发症西医没有疗效确切的药物治疗方法，主要采用留置尿管和膀胱冲洗的方法预防膀胱感染，等待膀胱功能的自行恢复，但此方法对很多顽固性术后尿潴留患者临床效果不甚理想，以致患者需长期佩戴尿管，严重影响其生存质量。加之由于术后尿潴留病人需要长期留置尿管，反复插管，易继发泌尿系统感染，加重患者心理负担，影响身体恢复和后续治