超声引导下尿管球囊扩张术治疗宫颈癌术后神经源性膀胱患者1例  

Treatment of neurogenic bladder after radical resection of cervical cancer by ultrasound-guided balloon urethral dilation:a case report

作　　者：高学生[1] 张茜 李雅丽 GAO Xuesheng;ZHANG Qian;LI Yali(Department of Rehabilitation,Affiliated Hospital of Weifang Medical University,Shandong Province,Weifang 261000,China)

机构地区：[1]潍坊医学院附属医院康复医学科,山东潍坊261000

出　　处：《中国当代医药》2025年第4期152-155,共4页China Modern Medicine

基　　金：山东第二医科大学附属医院(教学医院)科研发展基金项目(2024FYM002);山东省优质专业学位教学案例库建设项目(SDYAL2022154)。

摘　　要：宫颈癌是影响女性健康的最常见疾病之一,子宫广泛性切除术为该疾病的重要治疗措施,但术中可对盆腔神经及盆丛神经造成不同程度损伤,引发术后尿潴留等膀胱功能障碍,对患者身心健康及生活质量威胁极大。本文报道1例创新性应用超声引导下尿管球囊扩张尿道外括约肌技术治疗成功的宫颈癌术后神经源性膀胱患者,使其恢复自主排尿功能。超声可视化引导下尿道外括约肌尿管球囊扩张术可降低尿道外括约肌张力,减少膀胱出口阻力,改善神经源性膀胱功能障碍,操作简单,安全可靠。Cervical cancer is one of the most common diseases affecting women's health.Extensive hysterectomy is an important treatment for this disease,but it can cause different degrees of damage to pelvic nerve and pelvic plexus nerve during the operation,resulting in postoperative urinary retention and other bladder dysfunction,which poses a great threat to patients'physical and mental health and quality of life.This paper reports a case of patients with neurogenic bladder after cervical cancer surgery who were successfully treated with ultrasound-guided balloon dilation of external urethral sphincter.Ultrasound-guided balloon dilation of urethral external sphincter can reduce the tension of urethral external sphincter,reduce the bladder outlet resistance,and improve the neurogenic bladder dysfunction.

关 键 词：宫颈癌根治术 神经源性膀胱 球囊扩张术 导尿管 超声引导 

分 类 号：R711.74[医药卫生—妇产科学]