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传统的根治性子宫切除术术后常引起一系列并发症,如膀胱功能障碍、肛门直肠功能紊乱和阴道功能障碍等。随着肿瘤外科的发展,在根治性子宫切除术中通过保留盆腔自主神经可显著减少术后并发症,改善患者术后生活质量。由于缺乏传统的根治性子宫切除术与保留盆腔神经根治性子宫切除术的疗效和并发症的临床随机对照研究,所以尚不能广泛推广。近年开展的大量手术实践有相关技术创新和随访数据。现就近年保留神经的根治性子宫切除术的适应证、手术步骤、手术技巧和并发症的进展进行综述,并阐述需要研究的问题。
Traditional radical hysterectomy often leads to a series of complications, such as bladder dysfunction, anorectal dysfunction and vaginal dysfunction. With the development of oncology surgery, the preservation of pelvic autonomic nerve in radical hysterectomy can significantly reduce postoperative complications and improve postoperative quality of life. Due to the lack of traditional radical hysterectomy and preservation of pelvic nerve radical hysterectomy efficacy and complications of the clinical randomized controlled study, it can not be widely promoted. In recent years, a large number of surgical practices related to technological innovation and follow-up data. Now on the preservation of nerve radical radical hysterectomy indications, surgical procedures, surgical techniques and the progress of complications are reviewed, and describes the need to study the issue.