国际妇产科学杂志

国际妇产科学杂志 ›› 2009, Vol. 36 ›› Issue (6): 447-449.

• 综述 • 上一篇    下一篇

宫颈癌保留神经的广泛全子宫切除术

吴嘉涵;鹿欣   

  1. 200011 上海, 复旦大学附属妇产科医院
  • 收稿日期:2009-03-04 修回日期:1900-01-01 出版日期:2009-12-15 发布日期:2009-12-15
  • 通讯作者: 鹿欣

Nerve-sparing Radical Hysterectomy in Cervical Carcinoma

WU Jia-han;LU Xi   

  1. Obstetric and Gynecology Hospital, Fudan University, Shanghai 200011, China
  • Received:2009-03-04 Revised:1900-01-01 Published:2009-12-15 Online:2009-12-15
  • Contact: LU Xin

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摘要： 广泛全子宫切除术是早期宫颈癌治疗的有效术式。临床上根据患者年龄、生育要求与病变分期制定个体化治疗策略，主要包括手术方式、放疗和化疗。宫颈癌理想手术方式应同时考虑患者预后与生活质量改善状况。而传统广泛全子宫切除术式造成诸多并发症，包括膀胱功能障碍，直肠功能紊乱，性功能受损等。保留神经广泛全子宫切除术可减少这些并发症，提高患者的生活质量，因而成为宫颈癌手术方式改良的研究热点。综述保留神经广泛全子宫切除术的研究进展。

关键词: 宫颈癌, 保留神经, 广泛全子宫切除术

Abstract: Radical hysterectomy has been proved highly effective as management of early-stage cervical carcinoma. Clinical strategy and individual treatment including surgical approaches, radiotherapy and chemotherapy have been determined according to age, fertility preservation and clinical stage of patients with cervical carcinoma. As we all know that the ideal surgical management of cervical carcinoma should be tailored on the basis of prognostic factors and quality of life. Moreover the classical radical hysterectomy（RH） often causes many complications,
including bladder dysfunction, ano-rectal mobility disorders, and sexual dissatisfaction, etc. The new concept of nerve-sparing radical hysterectomy （NSRH） is becoming a promising achievement as an alternative treatment to reduce these complications. This paper reviews the historical innovation of NSRH and its recent achievements.

Key words: Cervical carcinoma, Nerve-sparing, Radical hysterectomy