早期子宮頸癌接受子宮根除性手術後繼發膀胱功能障礙治療及預防之案例報告及文獻回顧

Treatment of bladder dysfunction secondary to early stage cervical cancer radical uterine surgery: a case report and review of literature

患有早期子宮頸癌的婦女傳統上利用Piver III或II型根除性子宮切除術來治療，在所有手術相關後遺症中的最令人困擾的問題之一就是膀胱功能障礙。症狀為尿液滯留、排尿困難、排尿延遲、反覆泌尿道感染以及應力性尿失禁，潛在有效之預防子宮根除手術後膀胱功能障礙之措施有類乙酰膽鹼製劑和促乙酰膽鹼製劑，非藥物措施有術後恥骨上導尿，間歇性自我導尿，膀胱訓練和針灸。然而，仍需大型之統合分析來證實以上方法的有效性。

Women with early stage cervical cancer are traditionally treated with Piver III or type II radical hysterectomy. One of the most disturbing surgical-related sequelae is bladder dysfunction. Symptoms include urine retention, dysuria, delayed urination, repeated urinary tract infections, and stress urinary incontinence. Potentially effective measures to prevent bladder dysfunction after radical hysterectomy include acetylcholine-like agents and acetylcholine-stimulating agents. Non-medical treatment include postoperative suprapubic catheterization, intermittent catheterization, bladder training and acupuncture. However, a large-scale integrated analysis is still needed to confirm the effectiveness of these methods.