摘要
通过１１例女性尸体的仔细解剖对女性盆丛神经的组成、走行和分布，特别是对宫颈癌手术与有关的宫骶韧带、主韧带及阴道旁的关系作了研究。由于盆丛的分布大部分在根治术的手术野范围内，因此在切除宫骶韧带时易损伤组成根段与盆丛，切除主韧带及阴道旁时易损伤其分支。作者提出了保留盆丛的方法，此法比对照组术后排尿功能恢复正常的天数明显缩短（Ｐ＜０．０ｌ）。提示此法可预防盆丛的损伤及尿潴留的发生。经长期随访，保留组与对照组５年、１０年存活率差异无显著性意义（Ｐ＞０．０５）。
Abstract Radical hysterectomy remains to be the treatment of choice for
carcinoma of the uterinecervix. As pelvic nerve plexuses are distributed in the operative field,
damage to the plexuses is likely to oc-cur, which is responsible for the post-operative atonia of
the urinary bladder and urinary reten-tion. To reduce the incidence of this postoperadtive
complication, the composition and distribution ofthe pelvic nerve plexuses in relation to the
utero-sacral ligament and cardinal ligament of the uterus and paravaginal tissues were
carefully dissected on 11 adult female cadavers. Based on the anatomic study, due precautons
were made to avoid damage to the pelvic nerve plexuses duringpelvic dissection for radical
hysterectomy. As a result, the duration of postoperative urinary retentionwas significantly
reduced while the 5- and l0- year survival rates remained unchanged.
出处
《中华肿瘤杂志》
CAS
CSCD
北大核心
1994年第6期465-468,共4页
Chinese Journal of Oncology
