Ralph G, Winter R, Michelitsch L, Tamussino K
Department of Obstetrics and Gynecology, University of Graz, Austria.
Eur J Gynaecol Oncol. 1991;12(1):27-30.
Sixty-six patients who underwent radical abdominal hysterectomy between 1971 and 1985 for stage Ib-IIb cervical cancer underwent urodynamic studies 1-15 years after surgery. None of the patients had received radiotherapy. Surgical specimens were processed as serial giant sections permitting measurement of the resected parametrial and paravaginal tissue. In 1984 parametrial resection was extended to the pelvic wall by the use of hemoclips. Impaired bladder sensation, bacteriuria, and residual urine were significantly more common among the patients who had more radical surgery, as were reduced flow rates and abnormal bladder compliance.
1971年至1985年间因Ib-IIb期宫颈癌接受根治性腹部子宫切除术的66例患者在术后1至15年接受了尿动力学研究。所有患者均未接受过放疗。手术标本制成连续大切片，以便测量切除的宫旁组织和阴道旁组织。1984年，通过使用血管夹将宫旁切除术扩展至盆腔壁。在接受了更广泛手术的患者中，膀胱感觉障碍、菌尿症和残余尿明显更为常见，流速降低和膀胱顺应性异常也是如此。
