宫颈癌根治手术中输尿管及膀胱保护问题

doi:10.7504/fk2015050111

摘要/Abstract

摘要：

输尿管和膀胱与女性内生殖器官相毗邻，宫颈癌根治术手术范围广、难度大，所以极易发生输尿管和膀胱的损伤，严重影响患者的生存质量。因此，应了解宫颈癌手术输尿管及膀胱损伤的常见原因，术前充分评估，精确掌握手术区域解剖，正确使用各种能量器械，时刻注意保护输尿管及膀胱，避免发生严重后遗症，改善患者的预后，减少医疗纠纷的发生。

关键词: 宫颈癌手术, 输尿管, 膀胱

Abstract:

Abstract:The ureter and bladder are adjacent to the female internal reproductive organs. The most common cause of ureter and bladder injury is iatrogenic injury，which is common in gynecological surgery，especially radical hysterectomy. This kind of surgery is so difficult and high-risk that the impossible of urinary tract injuries are increased. It has a serious impact on the quality of life of patients. Therefore，it is important to master the causes and characteristics of urinary tract injuries in cervical cancer surgery，have a good pre-operative evaluation，be familiar with surgical anatomy of the region，properly use of a variety of electrical equipments，master skilled operative techniques，keep intraoperative vigilance in case of a urinary tract injury. But once it happens，the early treatment is so important that it can avoid significant sequelae. It can improve the prognosis and reduce the occurrence of medical disputes.

Key words: cervical cancer surgery, ureter, bladder

中图分类号:

R713

彭存旭，王云飞. 宫颈癌根治手术中输尿管及膀胱保护问题[J]. 中国实用妇科与产科杂志, DOI: 10.7504/fk2015050111.

PENG Cun-xu，WANG Yun-fei.. Protection strategy of ureter and bladder in radical hysterectomy for cervical cancer.[J]. Acta Metallurgica Sinica, DOI: 10.7504/fk2015050111.

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（2015-02-20收稿）

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