Riss P, Koelbl H, Neunteufel W, Janisch H
2nd Department of Obstetrics and Gynecology, University Hospital, Vienna, Austria.
Arch Gynecol Obstet. 1988;241(4):249-53. doi: 10.1007/BF00931355.
In order to assess the incidence and type of urologic complications associated with Wertheim's radical hysterectomy we studied all 154 patients undergoing radical hysterectomy at our department between 1980 and 1986. More than 2/3 of patients had stage I carcinoma of the cervix, the mean age was 46.9 years (range 27-73 years). Various intraoperative reconstructive procedures were required in 5%. A comparison with the experience of Wertheim (before 1919) and that of a subsequent time period (1952-1967) showed that while the incidence of intraoperative injury to the lower urinary tract remained stable, the incidence of postoperative fistula formation decreased significantly (from 6.4% to 0.6%), possibly due to changes in the operative technique. We conclude that Wertheim's radical hysterectomy now involves only a very low risk of injury to the bladder or to the ureter.
为了评估与韦特海姆根治性子宫切除术相关的泌尿系统并发症的发生率和类型，我们研究了1980年至1986年间在我们科室接受根治性子宫切除术的所有154例患者。超过2/3的患者患有I期宫颈癌，平均年龄为46.9岁（范围27 - 73岁）。5%的患者需要进行各种术中重建手术。与韦特海姆（1919年以前）以及随后一段时间（1952 - 1967年）的经验相比，虽然下尿路术中损伤的发生率保持稳定，但术后瘘管形成的发生率显著下降（从6.4%降至0.6%），这可能是由于手术技术的改变。我们得出结论，现在韦特海姆根治性子宫切除术对膀胱或输尿管造成损伤的风险非常低。
