Sasaki H, Yoshida T, Noda K, Yachiku S, Kaneko S
Nihon Sanka Fujinka Gakkai Zasshi. 1981 Nov;33(11):1875-80.
Total urodynamics tests, subjective complaints and intravenous pyelographic findings were investigated in order to clarify the condition of urinary tract after modified radical hysterectomy, comparing with radical hysterectomy with complete preservation of the plexus pelvics. The following results were obtained. 1) No subjective complaints of urination were obtained at three months after the operation. 2) The cystometrograms and the urethral profile pressure patterns after the operation were same as the preoperative patterns. 3) The urinary flow curves revealed normal patterns except one case. 4) In I.V.P. findings, considerable transient disturbances were noted on the upper urinary tract in 15.8%. 5) The patients with radical hysterectomy of complete preservation of the plexus pelvics remained direct operative disturbance at three months and from any view points we investigated the radical hysterectomy, even with complete preservation of the plexus pelvics remained worse influence in patients than modified radical hysterectomy.
为了阐明改良根治性子宫切除术后尿路状况,并与完全保留盆腔神经丛的根治性子宫切除术进行比较,我们对所有患者进行了尿动力学检查、主观症状调查及静脉肾盂造影检查。结果如下:1)术后3个月无排尿方面的主观症状。2)术后膀胱测压图及尿道压力分布模式与术前相同。3)除1例患者外,尿流曲线均显示正常模式。4)在静脉肾盂造影检查结果中,15.8%的患者上尿路出现明显的短暂性异常。5)完全保留盆腔神经丛的根治性子宫切除术患者在术后3个月仍存在直接手术干扰,且从我们所研究的任何角度来看,即使完全保留盆腔神经丛,根治性子宫切除术对患者的影响仍比改良根治性子宫切除术更差。