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子宫颈癌根治术的创面广、时间长,并涉及其周围血管、肠道、膀胱、输尿管等重要器官,因此根治术既要达到根治目的,又要避免并发症的发生。我们自1960年至1979年共行子宫颈癌根治术451例,其中手术后发生并发症共129例(占28.6%),现将有关并发症的防治问题讨论如下。临床资料本组宫颈癌根治术后并发症以尿潴留和盆腔淋巴囊肿为主,其次为腹壁切口感染和肾功能损害。其中1例小肠瘘,为术后补充体外放射治疗,因肠粘连局部小肠受放射线热点所致(附表)。
Radical surgery of cervical wound wide, a long time, and involves the surrounding blood vessels, intestines, bladder, ureter and other vital organs, so radical surgery should not only achieve the purpose of cure, but also to avoid the occurrence of complications. We from 1960 to 1979, 451 cases of cervical cancer radical operation, including postoperative complications occurred in 129 cases (28.6%), the prevention and treatment of complications are discussed below. Clinical data of this group of postoperative complications of cervical cancer with urinary retention and pelvic lymphatic cyst, followed by abdominal incision infection and renal dysfunction. One case of small intestinal fistula, postoperative external radiation therapy, due to intestinal adhesions due to radiation caused by local hot spots (Schedule).