1宫颈癌手术进入多元化与个体化治疗时代自1898年Wertheim实施首例子宫广泛性切除+盆腔淋巴结切除术治疗宫颈癌以来,该术式一直是治疗早期尤其是年轻子宫颈癌患者的主要方法之一。该术式功勋卓绝被视为经典应用至今。但由于其要求手术切除范围广,创伤大,对宫颈癌灶周围的主韧带、子宫骶骨韧带、膀胱宫颈韧带、直肠阴道韧带等的广泛切除以及对子宫深静脉周围淋巴结切除时,常致盆腔自主神经的损伤,因此,患者术后膀胱 1 cervical cancer surgery into the era of diversification and individualized treatment Since Wertheim in 1898 the first case of uterine wide excision + pelvic lymph node dissection for the treatment of cervical cancer, the procedure has been the treatment of early cervical cancer, especially young patients, the main method one. The surgical exploits are considered classic applications so far. However, due to its requirements for a wide range of surgical resection, trauma, cervical ligament around the main ligament, the uterus sacral ligament, bladder cervix ligament, rectovaginal ligament, such as a wide range of resections and uterine deep venous lymph node resection, often caused by pelvic autonomy Nerve damage, therefore, the patient’s bladder after surgery