Chen D X
First Hospital, Human Medical College, Changsha.
Zhonghua Zhong Liu Za Zhi. 1989 Jan;11(1):67-70.
The chief urinary complications following radical hysterectomy for 621 patients with cervical cancer are reported. Bladder and ureteral injury occurred in 0.16% and 0.64% of patients. The incidence of ureteral fistula was also very low (0.16%). Temporary retention of urine was one of the most common urinary complications with occurring rate of 43%. The incidence was related to the type of radical hysterectomy. The incidence of urinary tract infection was 14.33% which was related to the retention of urine. The results of urine culture showed that the main pathogens of infection were B. aeruginosus and Escherichia coli. Impairment of kidney function, usually unilateral, was the major late urinary complication. The severity, causes and prevention of urinary complications are briefly discussed.
报告了621例宫颈癌患者根治性子宫切除术后主要的泌尿系统并发症。膀胱和输尿管损伤分别发生在0.16%和0.64%的患者中。输尿管瘘的发生率也很低（0.16%）。尿潴留是最常见的泌尿系统并发症之一，发生率为43%。其发生率与根治性子宫切除术的类型有关。尿路感染的发生率为14.33%，与尿潴留有关。尿培养结果显示，主要感染病原体为铜绿假单胞菌和大肠杆菌。肾功能损害通常为单侧，是主要的晚期泌尿系统并发症。本文简要讨论了泌尿系统并发症的严重程度、病因及预防。
