根治性膀胱切除术中完整保留女性生殖器官的临床实践  

Clinical practice of complete preservation of female reproductive organs during radical cystectomy

作　　者：叶宸 王益 陈印 宋瑞祥 曾蜀雄 许传亮 王辉清 YE Chen;WANG Yi;CHEN Yin;SONG Ruixiang;ZENG Shuxiong;XU Chuanliang;WANG Huiqing(Department of Urology,The First Affiliated Hospital of Naval Medical University,Shanghai 200433,China)

机构地区：[1]海军军医大学第一附属医院泌尿外科,上海200433

出　　处：《中国临床医学》2024年第2期246-250,共5页Chinese Journal of Clinical Medicine

基　　金：上海长海医院“234学科攀峰计划”临床学科创新项目(2020YXK019).

摘　　要：目的探讨根治性膀胱切除术中完整保留女性生殖器官的疗效和技术要点。方法选择2020年和2021年海军军医大学第一附属医院收治的2例拟行根治性膀胱切除术的女性膀胱癌患者,术前评估患者病情,结合患者意愿,术中予完整保留生殖器官,术后定期随访,评估疗效和预后。结果2例患者手术顺利,术后恢复良好,无手术相关并发症。2例患者分别随访22个月、36个月,随访期间均未复发,性功能、生活质量评分均为良好,其中1例患者术后第17个月顺利妊娠,常规产检及无创胎儿DNA检测未见异常。结论在严格把握手术适应证的前提下,根治性膀胱切除术中完整保留女性生殖器官可使患者术后获得更好的生活质量,尤其能保护育龄期女性生育功能。Objective To explore the efficacy and technical points of complete preservation of female reproductive organ in radical cystectomy.Methods In 2020 and 2021,two female patients with bladder cancer undergoing radical cystectomy in The First Affiliated Hospital of Naval Medical University were selected.The clinical conditions of the patients were evaluated before surgery,and the reproductive organs were completely preserved according to the patients’wishes during the operation.The patients were regularly followed up after surgery.The efficacy and prognosis of patients were evaluated.Results The operation was successful and the two patients recovered well without surgery-related complications.The follow-up time for two patients were 22 months and 36 months.During the follow-up period,no tumor recurrence was found,and the scores of sexual function and quality of life were good.One patient was successfully pregnant at 17 months after surgery,and routine prenatal examination and non-invasive fetal DNA testing showed no abnormalities.Conclusions Under the premise of strictly grasping the surgical indications,the complete preservation of female reproductive organs in radical cystectomy can improve patients’quality of life after surgery,especially protect the reproductive function of women of childbearing age.

关 键 词：膀胱癌 根治性膀胱切除术 生殖器官 女性 

分 类 号：R737.14[医药卫生—肿瘤]