Knysh V I, Ozhiganov E L, Bagirov Iu I
Vestn Khir Im I I Grek. 1983 Jul;131(7):61-6.
Atonia of the urinary bladder and cystitis are known to be complications of high incidence resulting from radical operations for rectal carcinoma. The authors have established atonia of the urinary bladder to develop after the most traumatic operations of the abdomino-perineal extirpations of the rectum. The urinary bladder atonia is found to result from a disturbance of parasympathetic innervation and development of posttraumatic pericystitis. Electrostimulation of the urinary bladder in combination with antibacterial therapy is recommended for the treatment of atonia and cystitis.
膀胱无张力和膀胱炎是直肠癌根治手术后发生率很高的并发症。作者已证实,在直肠经腹会阴联合切除这种创伤最大的手术后会发生膀胱无张力。发现膀胱无张力是由副交感神经支配紊乱和创伤后膀胱周围炎发展所致。建议采用膀胱电刺激联合抗菌治疗来治疗膀胱无张力和膀胱炎。