Shiromizu K, Ogawa M, Kotake K, Koyama Y, Nakazono M, Hirao K
Division of Gynecology, Tochigi Cancer Center.
Jpn J Clin Oncol. 1989 Jun;19(2):170-2.
Although total pelvic exenteration is performed for central recurrent or persistent uterine cervical carcinoma, the patient is damaged both physiologically and psychologically by its massive surgical procedure and complications as well as the loss of the vagina. Vaginal reconstruction at the time of surgery brings much advantageous satisfaction to the patient's future life and a strong bond with her husband. Furthermore, a new reconstructed vagina occuping the pelvic cavity prevents intestinal herniation and is available for bimanual examination in the follow-up to surgery. A case of recurrent cervical carcinoma is presented, with reconstruction of the vagina and conduit using the sigmoid colon in total pelvic exenteration.
尽管全盆腔脏器切除术是针对中央型复发性或持续性子宫颈癌实施的，但该大型手术及其并发症以及阴道缺失会对患者造成生理和心理上的双重损害。手术时进行阴道重建能给患者未来的生活带来诸多有益的满足感，并加强她与丈夫的亲密关系。此外，占据盆腔的新重建阴道可防止肠疝形成，且在术后随访中可用于双合诊检查。本文报告一例复发性宫颈癌病例，在全盆腔脏器切除术中使用乙状结肠进行阴道和管道重建。
