中国实用妇科与产科杂志

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系统保留盆腔自主神经广泛性子宫切除术中如何辨认神经

曹莉莉徐惠成   

  1. 作者单位:第三军医大学第一附属医院妇产科,重庆400038
  • 出版日期:2013-12-02 发布日期:2013-12-02

  • Online:2013-12-02 Published:2013-12-02

摘要:

目前,系统保留盆腔自主神经广泛性子宫切除术得到了越来越大的推广。手术的关键在于神经的辨认,辨认神经的方法主要有依靠盆腔自主神经周围解剖标志的识别、通过电刺激检测的间接神经辨认以及术中直接借助放大作用和神经监护的神经辨认。

关键词: 盆腔自主神经, 广泛性子宫切除术, 神经保留, 神经辨认

Abstract:

Abstract:A technique,namely nerve sparing radical hysterectomy (NSRH),which is gradually being accepted because patients suffer from postoperative complications following radical hysterectomy procedure.To improve nerve-sparing procedures,it is important to establish precise methods of intraoperative evaluation of nerve preservation.This paper not only described affirmation of pelvic autonomic nerve in systematic nerve-sparing radical hysterectomy but also principally introduced indirect nerve identification,such as anatomical landmarks surrounding pelvic autonomic nerve and intraoperative electrical stimulation,as well as direct nerve identification through intraoperative monitoring amplification and neurological monitoring.

Key words: pelvic autonomic nerve, radical hysterectomy, nerve-sparing, nerve affirmation 

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