Ralph G, Tamussino K, Lichtenegger W
Department of Obstetrics and Gynecology, University of Graz, Austria.
Arch Gynecol Obstet. 1990;248(2):61-5. doi: 10.1007/BF02389576.
We reviewed urologic complications in 320 patients who underwent radical abdominal hysterectomy for stage Ib-IIb cervical cancer. 145 patients received adjuvant radiotherapy, and 116 were available for urodynamic testing 1-14 years later. The overall incidence of fistulas was 4.4%. Three of eight fistulas following surgery alone healed spontaneously; all fistulas following adjuvant radiotherapy required surgical correction. Nocturia and urgency were reported more often after adjuvant radiotherapy than after surgery alone. We conclude that urologic complications after radical hysterectomy can be made more intractable by adjuvant radiotherapy.
我们回顾了320例因Ib-IIb期宫颈癌接受根治性腹式子宫切除术患者的泌尿系统并发症情况。145例患者接受了辅助放疗，116例在1至14年后可进行尿动力学检查。瘘管的总体发生率为4.4%。仅手术治疗后的8例瘘管中有3例自发愈合；辅助放疗后的所有瘘管均需手术矫正。辅助放疗后夜尿症和尿急的报告发生率高于单纯手术治疗后。我们得出结论，辅助放疗会使根治性子宫切除术后的泌尿系统并发症更难处理。
