Woodside J R, McGuire E J
J Urol. 1982 Jun;127(6):1143-5. doi: 10.1016/s0022-5347(17)54271-8.
An extended radical Wertheim hysterectomy is commonly used in the primary treatment of carcinoma of the cervix. Postoperative voiding dysfunction, characterized by a hypotonic or atonic detrusor, commonly occurs. It is not generally appreciated that hypertonic bladder dysfunction can also occur as a late postoperative complication. We describe 3 patients with postoperative detrusor hypertonia resulting in radiographic changes of the upper urinary tract. The etiology, diagnosis and management of detrusor hypertonia following a Wertheim hysterectomy are discussed.
广泛根治性韦特海姆子宫切除术常用于子宫颈癌的初始治疗。术后常出现以逼尿肌低张或无张为特征的排尿功能障碍。人们通常没有认识到高张性膀胱功能障碍也可能作为术后晚期并发症出现。我们描述了3例术后逼尿肌张力亢进导致上尿路影像学改变的患者。本文讨论了韦特海姆子宫切除术后逼尿肌张力亢进的病因、诊断和处理。
