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传统的宫颈癌根治术术后常引起膀胱功能障碍,结直肠蠕动紊乱以及性功能障碍等并发症。为了减少术后并发症,避免损失相关神经尤为重要。保留盆腔自主神经的根治性子宫切除术术中损失神经的部位主要为:(1)处理宫骶韧带时易损伤腹下神经;(2)处理主韧带中子宫深静脉时易损伤盆腔内脏神经;(3)处理膀胱宫颈韧带时易损伤下腹下神经丛的膀胱支。对主韧带、宫骶韧带、膀胱宫颈韧带及膀胱旁间隙、直肠旁间隙和第四间隙的理解和精细的解剖是进行保留盆腔自主神经的根治性子宫切除术的基本条件。
Traditional cervical cancer after radical surgery often cause bladder dysfunction, colorectal motility disorders and other complications of sexual dysfunction. In order to reduce postoperative complications, to avoid loss of relevant nerve is particularly important. Remain the pelvic autonomic nerve radical hysterectomy surgery loss of the main parts of the nerve are: (1) treatment of the uterosacral ligament injury of the inferior hypoglossal nerve; (2) the treatment of the main ligament in the deep uterine vein vulnerable to damage visceral nerve pelvic; (3) when the treatment of bladder ligaments of the inferior epigastric nerve plexus of the bladder branch. Understanding and fine dissection of the primary ligament, the uterosacral ligament, the bladder cervical ligament and the para-glottic space, the para-rectum and the fourth space are the basic conditions for a radical hysterectomy that preserves pelvic autonomic nerve.