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目的 探讨广泛性子宫切除术 (子宫动脉尿管支保存法 )治疗子宫颈癌的手术效果。方法 对 16 2例广泛性子宫切除术患者的临床病理及术后并发症进行分析。结果 膀胱麻痹 135例 ,其中 116例 (71.6 % )术后 15天内功能恢复。淋巴囊肿 9例 ,以后自行吸收。术中输尿管损伤 4例 ,当即进行修复 ,术后功能正常。术中出血量平均 6 83ml ,手术时间平均 3h 13min。切除盆腔淋巴结共 1944组 ,39组 (2 .0 % )有淋巴结转移。结论 广泛性子宫切除术 (子宫动脉尿管支保存法 )是子宫颈癌根治手术中 1种较成熟的术式。
Objective To investigate the surgical effect of extensive hysterectomy (uterine artery catheterization) in the treatment of cervical cancer. Methods Clinical pathology and postoperative complications of 162 patients with extensive hysterectomy were analyzed. Results 135 cases of bladder paralysis, of which 116 cases (71.6%) function recovered within 15 days after operation. Lymphocyst in 9 cases, after self-absorption. Intraoperative ureteral injury in 4 cases, immediately for repair, postoperative normal function. Intraoperative bleeding average 6 83ml, operation time average 3h 13min. 1944 cases of pelvic lymph node resection, 39 cases (2.0%) lymph node metastasis. Conclusions Extensive hysterectomy (preservation of uterine artery and ureteral branches) is a more mature technique in radical operation of cervical cancer.