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保留盆腔自主神经的根治性子宫切除术的解剖要点和手术技巧 被引量:2

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摘要 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。
作者 曹剑 李胜泽
出处 《现代妇产科进展》 CSCD 北大核心 2011年第5期403-406,共4页 Progress in Obstetrics and Gynecology
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参考文献23

  • 1姚书忠,卢姗.盆腔神经解剖及与其相关妇科疾病的手术治疗[J].中国实用妇科与产科杂志,2009,25(3):180-183. 被引量:9
  • 2陈春林,刘萍.腹腔镜下系统保留盆腔自主神经的根治性子宫切除术[J].中国实用妇科与产科杂志,2009,25(1):21-24. 被引量:4
  • 3Rob L, Halaska M, Robova H. Nerve-sparing and individually tailored surgery for cervical cancer[ J ].Lancet Oncol, 2010,11 :292-301.
  • 4Dursun P, Ayhan A, Kuscu E. Nerve-sparing radical hysterectomy for cervical carcinoma [ J ]. Critical Reviews in Oncology/ Hematology, 2009,70 : 195-205.
  • 5Sakuragi N, Todo Y. Kudo M,et al. A systematic nervesparing radical hysterectomy technique in invasive cervical cancer for preserving postsurgical bladder function [ J]. Int J Gyneeol Cancer,2005,15:389-397.
  • 6Buller R, Tamir I, Disaia P. Early evaluation of the urinay tract following radical hysterectomy:structure and function relationships [ J]. Obstet Gynecol, 1991,78 : 840-844.
  • 7Raspagliesi F, Ditto A, Hanozet F, et al. Nerve-sparing radical hysterectomy in cervical cancer:Evolution of concepts[ J ]. Gynecol Oncol,2007,107 : 119-121.
  • 8Yabuki Y, Sasaki H, Hatakeyama N, et al. Discrepancies between classic anatomy and gynecologic surgery on pelvic connective tissue structure: harmonization of those concepts by collaborative cadaver dissection[J]. Am Obstet Gynecol,2005 ,193 :7-15.
  • 9Vu D, Haylen BT, Tse K, et al. Surgical anatomy of the uterosaeral ligament [ J ]. Int Urogynecol J Pelvic Floor Dysfunct,2010,21 (9) :1123-1128.
  • 10Kato T, Murakami G, Yabuki Y. A new perspective on nerve-sparing radical hysterectomy:nerve topography and over-preservation of the cardinal ligament [ J ]. Jpn J Clin Oncol,2003,33 ( 11 ) :589-591.

二级参考文献22

  • 1吴义勋,邱实,孟君.宫颈癌根治术对盆丛神经的损伤及其预防[J].中华肿瘤杂志,1994,16(6):465-468. 被引量:74
  • 2臧荣余.妇科盆腔手术保留盆腔神经丛的方式[J].中国癌症杂志,2006,16(11):907-910. 被引量:22
  • 3小林隆.子宫颈癌的手术[M].东京:南山堂,1961:178
  • 4松泽真澄.宫颈癌根治术后の排尿障碍[J].日產婦誌,1967,19:1479.
  • 5Raspagliesi F,Ditto A,Fontanelli R,et al.Nerve-sparing radical hysterectomy:a surgical technique for preserving the autonomic hypogastric nerve[J].Gynecol Oncol,2004,93 ( 2 ) :307-314.
  • 6Pieterse QD,Maas CP,ter Kuile MM.An observational lognitudinal study to evaluate miction,defection,and sexual function after radical hysterectimy with pelvic lymphadenectomy for early-stage cervial cancer[J].Int J Gynecol Cancer,2006,16(3):1119-1129.
  • 7Fujii S. Anatomic identification of nerve-sparing radical hysterectomy: a step-by-step procedure [ J ]. Gynecol Oncol, 2008, 26 : 301-307.
  • 8Sakuragi N, Todo Y, Kudo M, el al. A systematic nerve-sparing radical hysterectomy technique in invasive cervical cancer for preserving postsurgical bladder function [J]. Int J Gynecol Cancer, 2005,15 ( 2 ) :387-397.
  • 9Skret A, Nowakowski B, Skret-Magierlo J, et al. Nerve sparing radical hysterectomy[J]. Ginekol Pol, 2008,79 ( 2 ) :92-98.
  • 10Raspagliesi F, Ditto A, Hanozet F, et al. Nerve-sparing radical hysterectomy in cervical cancer: evolution of concepts[ J ]. Gynecol Oncol,2007,107(1 Suppl 1 ) :S119-121.

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