Halaska M, Voigt R, Bauer J, Dvorak O, Skrivan J, Citterbart K, Sindlár M, Smejkal M
I. Gynäkologisch-geburtshilflichen Klinik, Karls-Universität Prag/CSSR.
Zentralbl Gynakol. 1988;110(18):1117-23.
Two collectives of patients of the I. Gynecological-obstetrical clinic Praha/CSSR suffering from cervical cancer are examined after abdominal radical hysterectomy Wertheim-Meigs. Group 1 contained 125 women treated in the years 1957 to 1966, group 2 included 89 women undergoing the operation in the years 1981 to 1986. In group 2 we found a lower rate of perioperative injuries and early and late disturbances of the urinary tract following radical hysterectomy. This may be a result of more careful preparation of the ureter and intensive postoperative care. We examined 56 women of group 2 by urodynamics. There are statistical significant changes of the maximum urethral pressure and bladder compliance after the operation. This values returned to normal limits with increasing distance between operation and follow-up.
对布拉格/捷克斯洛伐克第一妇产科诊所的两组宫颈癌患者在进行韦特海姆-梅格斯腹部根治性子宫切除术后进行检查。第一组包含1957年至1966年期间接受治疗的125名女性,第二组包括1981年至1986年期间接受手术的89名女性。在第二组中,我们发现根治性子宫切除术后围手术期损伤以及尿路早期和晚期紊乱的发生率较低。这可能是输尿管准备更加精细和术后护理加强的结果。我们对第二组的56名女性进行了尿动力学检查。术后最大尿道压力和膀胱顺应性有统计学上的显著变化。随着手术与随访之间时间间隔的增加,这些值恢复到正常范围。