Hermsdorf J, Retzke U, Kob D, Herrmann K
Frauenklinik, Friedrich-Schiller-Universität, Jena.
Zentralbl Gynakol. 1988;110(2):90-4.
Report about the urologic complications seen in connection with 212 radical hysterectomies performed abdominally according to Wertheim-Held in the time between. 1.4. 1980-15. 12. 1986 in patients suffering from cervical cancer. There were 2 injuries of the urinary bladder while the operation procedure (= 0.9%), no injuries or late fistulas of the ureter. Dilatations of the upper urinary tract in patients treated only operatively were to be stated in 5%, half of them disappeared spontaneously. In case of operation plus postoperative x-ray treatment the rate of upper urinary tract dilatation was higher (= 15%). The centralization of treatment in the therapy of cervical cancer is an important tool for diminishing the rate of urologic complications.
关于1980年4月1日至1986年12月15日期间，对212例患有宫颈癌的患者按照韦特海姆-赫尔德法经腹行根治性子宫切除术时所观察到的泌尿系统并发症的报告。手术过程中有2例膀胱损伤（=0.9%），输尿管无损伤或迟发性瘘。仅接受手术治疗的患者中，上尿路扩张发生率为5%，其中一半自发消失。若手术加术后X线治疗，上尿路扩张发生率更高（=15%）。宫颈癌治疗的集中化是降低泌尿系统并发症发生率的重要手段。
