系统保留盆腔自主神经广泛性子宫切除术神经功能评估

摘要/Abstract

摘要：

系统保留盆腔自主神经广泛性子宫切除术（SNSRH）可改善广泛性子宫切除术术后的盆腔器官功能障碍，但由于手术难度大，辨认神经困难，存在一定的失败率和临床无效率。文章通过文献复习同时结合笔者的经验，总结术中和术后判断神经成功保留的方式，为临床起到一定的指导作用。

关键词: 系统保留盆腔自主神经广泛性子宫切除术, 神经成功保留

Abstract:

Abstract:Pelvic autonomic nervous system retains radical hysterectomy (SNSRH) radical hysterectomy may improve postoperative pelvic organ dysfunction, The surgery is difficult due to difficult to identify nerve, there is a certain failure rate and clinical efficiency.In this paper, through the literature review combined with our own experience, intraoperative and postoperative summary judgment seeking to keep nerve successful way to provide specific guidance for clinical significance.

Key words: SNSRH, nerve successfully reserved

中图分类号:

R713

刘萍，李维丽. 系统保留盆腔自主神经广泛性子宫切除术神经功能评估[J]. 中国实用妇科与产科杂志.

参考文献

[1］ Sakamoto S, Takizawa K. An improved radical hysterectomy with fewer gicalcomplications and with no loss of therapeutic results for invasive cervical cancer [J]. Ballieres Clin Obstet Gynaecol ，1988，2(4):953-962 .

[2］ Hckel M, Konerding MA, Heussel CP. Liposuction assisted nerve-sparing ext-ended radical hysterectomy: oncologic rationale, surgical anatomy, and feasibi lity study[J]. Am J Obstet Gynecol，1998，178(5):971-976 .

[3］ Possover M，Stober S，Plaul K，et al．Identification and preservation of the motoric innervation of the bladder in radical hysterectomy typeⅢ[J]．Gynecol Oncol，2000，79(2)：154-157 .

[4］ Sakuragi N,Todo Y，Kudo M，et al．A systematic nerve-sparing radical hysterectomy technique in invasive cervical cancer for preserving postsurgical bladder function[J]．Int J Gynecol Cancer，2005，15(2)：389-397 .

[5］ Trimbos JB, Maas CP, Deruiter MC,et al. A nerve-sparing radical hysterectomy: Guidelines and feasibility in Western patients[J]. Int J Gynecol Cancer，2001，11:180-186 .

[6］ Yabuki Y,Asamoto A,Hoshiba T,et al.A new proposal for radical hysterectomy[J]. Gynecol Oncol，1996，62:370-378 .

[7］ Kato K, Suzuka K, Osaki T,et al. Unilateral or bilateral nerve-sparing radical hysterectomy: a surgical technique to preserve the pelvic autonomic nerves while increasing radicality[J]. Int J Gynecol Cancer，2007，17（5）:1-7 .

[8］ Fujii S, Takakura K, Matsumura N,et al. Anatomic identification and functional outcomes of the nerve sparing Okabayashi radical hysterectomy[J]. Gynecol Oncol, 2007,107：4-13 .

[9］ Katahira H, Niikuraa Y, Kaihob H, et al. Intraoperative electrical stimulation of the pelvic splanchnic nerves during nerve-sparing radical hysterectomy[J]. Gynecol Oncol ,2005,98:462-466 .

[10］ Possover M,Quakernack J,Chiantera V．The LANN technique to reduce postoperative functional morbidity in laparoscopic radical pelvic surgery[J]．J Am Coll Surg，2005，201(6):1913-1917 .

[11］ Chen CL, Guo HX, Yu YH, et al.The measurement of vesical detrusor electromyographic activity during nerve-sparing radical hysterectomy[J]. Reprod Sci,2010,17: 1144-1152 .

[12］ Sun L, Wu LY, Zhang WH, et al. Peliminary study of nerve sparing radical hysterectomy in patients with cervical cancer[J]. Zhonghua Zhong Liu Za Zhi, 2009,31(8):607-611 .

[13］ Barbic M, Rakar S, Levicnik A, et al. Comparison of nerve content in removed parametrial tissue after classic radical hysterectomy and nerve-sparing radical hysterectomy--histologic evaluation[J]. Eur J Gynaecol Oncol,2012,33(1):21-24 . 

[14］ Chen C, Li W, Li F, et al. Classical and nerve-sparing radical hysterectomy: an evaluation of the nerve trauma in cardinal ligament[J]. Gynecol Oncol,2012,125(1):245-251 .

[15］陈春林,郭玉,刘萍,等. “阴道旁组织复合体”显微结构定性研究[J].中国实用妇科与产科杂志,2011,27(3):184-187 .

[16］刘萍，黄蕾，陈春林,等. 骶子宫韧带精细显微组织结构定性研究[J].中国实用妇科与产科杂志,2012,28(9):691-694 .

[17］ Espino-Strebel EE, Luna JT, Domingo EJ. A comparison of the feasibility and safety of nerve-sparing radical hysterectomy with the conventional radical hysterectomy[J]. Int J Gynecol Cancer,2010 ,20(7):1274-1283 .

[18］ Tseng CJ, Shen HP, Lin YH, et al. A prospective study of nerve-sparing radical hysterectomy for uterine cervical carcinoma in Taiwan[J]. Taiwan J Obstet Gynecol,2012,51(1):55-59 .

[19］ Liang Z, Chen Y, Xu H, et al.Laparoscopic nerve-sparing radical hysterectomy with fascia space dissection technique for cervical cancer: description of technique and outcomes[J]. Gynecol Oncol,2010,119(2):202-207 .

[20］ Sakuragi N,Todo Y,Kudo M,et al.A systematic nerve-sparing radical hysterectomy technique in invasive cervical cancer for preserving post surgical bladder function[J]. Int J Gynecol Cancer ,2005,15:389-397 .

[21］ Raspagliesi F, Ditto A, Fontanelli R,et al. Nerve-sparing radical hysterectomy: a surgical technique for preserving the autonomic hypogastric nerve[J]. Gynecol Oncol,2004,93:307-314 .

[22］ Plotti F, Angioli R, Zullo MA, et al.Update on urodynamic bladder dysfunctions after radical hysterectomy for cervical cancer[J]. Crit Rev Oncol Hematol, 2011,80(2):323-329 .

[23］ Ralph G, Tamussino K, Lichtenegger W. Urological complications following radical abdominal hysterectomy for cervical cancer[J].Arch Gynecol Obstet, 1990,248(2):61-65 .

[24］ Maneschi F, Ianiri P, Sarno M, et al. Nerve-sparing class III-IV radical hysterectomy: urodynamic study and surgical technique[J]. Int J Gynecol Cancer,2012,22(4):675-680 .

[25］ Todo Y, Kuwabara M, Watari H,et al. Urodynamic study on postsurgical bladder function in cervical cancer treated with systematic nerve-sparing radical hysterectomy[J]. Int J Gynecol Cancer,2006, 16:369-375 .

[26］ Oda Y, Todo Y, Hanley S,et al.Risk factors for persistent low bladder compliance after radical hysterectomy[J]. Int J Gynecol Cancer,2011,21(1):167-172 .

[1]	陈春林. 基于宫颈周围韧带精细解剖研究的改良系统保留盆腔自主[J]. 中国实用妇科与产科杂志, 2013, 9(12): 931-934.
[2]	陈春林. 妇科相关解剖学名词解释[J]. 中国实用妇科与产科杂志, 2013, 9(12): 948-949.
[3]	陈春林，王莉伶，苏桂栋，等. 系统保留盆腔自主神经广泛性子宫切除术相关阴道旁组织复合体中神经定量分析[J]. 中国实用妇科与产科杂志, 2013, 9(12): 950-955.
[4]	陈春林. 妇科相关解剖学名词解释[J]. 中国实用妇科与产科杂志, 2013, 9(12): 948-949.
[5]	陈春林，王莉伶，苏桂栋，等. 系统保留盆腔自主神经广泛性子宫切除术相关阴道旁组织复合体中神经定量分析[J]. 中国实用妇科与产科杂志, 2013, 9(12): 950-955.