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子宫颈癌Ia 期患者一般主张采用扩大的全子宫切除术或次广泛性子宫切除术进行治疗。对于Ib 期和Ⅱ期早者多采用广泛性子宫切除术加盆腔淋巴清扫术进行治疗。为了防止复发以提高远期疗效,进行彻底的广泛性子宫切除术是非常必要的。但是广泛性子宫切除术对于直肠、膀胱、尿管下段的手术侵袭较大,会引起一些合并症和后遗症。为此,除注意手术术式的改进以外,还要注意充分掌握防治手术合并症的知识,采取一些有效的监护和治疗方法,达到防止和减轻手术并发症的目的。兹就最常见的并发症的防治问题分述如下。一、输尿管损伤输尿管损伤在施行次广泛或广泛性子宫切除术中应极力避免。术者应充分掌握关于输尿管走向的解剖
Patients with stage Ia cervical cancer generally advocate the use of extended hysterectomy or subtotal hysterectomy for treatment. For early Ib and Ⅱ early use of extensive hysterectomy plus pelvic lymph node dissection for treatment. In order to prevent recurrence to improve long-term efficacy, a thorough and extensive hysterectomy is very necessary. However, extensive hysterectomy for the rectum, bladder, lower urinary tract surgery invasion, will cause some complications and sequelae. To this end, in addition to pay attention to the improvement of surgical procedures, but also pay attention to fully grasp the knowledge of surgical complications, take some effective guardianship and treatment to achieve the purpose of preventing and reducing surgical complications. Here are the most common complications of prevention and treatment are described below. First, the ureteral injury Ureteral injury in the implementation of a wide range or extensive hysterectomy should be avoided. Surgeons should fully grasp the anatomy of the ureter