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通过11例女性尸体的仔细解剖对女性盆丛神经的组成、走行和分布,特别是对宫颈癌手术与有关的宫骶韧带、主韧带及阴道旁的关系作了研究。由于盆丛的分布大部分在根治术的手术野范围内,因此在切除宫骶韧带时易损伤组成根段与盆丛,切除主韧带及阴道旁时易损伤其分支。作者提出了保留盆丛的方法,此法比对照组术后排尿功能恢复正常的天数明显缩短(P<0.0l)。提示此法可预防盆丛的损伤及尿潴留的发生。经长期随访,保留组与对照组5年、10年存活率差异无显著性意义(P>0.05)。
The anatomy of the female pelvic plexus was carefully studied in 11 female cadavers, and the relationship between cervical cancer surgery and related uterosacral ligaments, major ligaments and vagina was studied. Because the distribution of pelvic plexus is mostly within the surgical field of radical operation, it is easy to damage the uterosacral ligaments to form the root segments and the pelvic plexus. When the primary ligament and the vagina are removed, it is easy to damage the branches. The authors proposed a method of preserving the pelvic plexus. This method was significantly shorter (P <0.01) than the control group after the urinary function returned to normal. Tip This method can prevent pelvic plexus injury and urinary retention occurred. After long-term follow-up, there was no significant difference between the 5-year and 10-year survival rates in the retention group and the control group (P> 0.05).