国际妇产科学杂志

国际妇产科学杂志 ›› 2011, Vol. 38 ›› Issue (2): 87-88.

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宫颈大锥切术可以作为早期宫颈癌治疗的一种术式吗？

高永良 朱笕青   

  1. 310022 杭州 浙江省肿瘤医院
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2011-04-15 发布日期:2011-04-15
  • 通讯作者: 高永良

Large Cervical Conization Could be as a Surgical Modality for Early-stage Cervical Cancer?

GAO Yong-liang，ZHU Jian-qing   

  1. Zhejiang Cancer Hospital，Hangzhou 310022，China
  • Received:1900-01-01 Revised:1900-01-01 Published:2011-04-15 Online:2011-04-15
  • Contact: GAO Yong-liang

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摘要：

根治性子宫切除术及根治性宫颈切除术是治疗宫颈癌的重要术式，其对肿瘤的控制有较好的疗效，但并发症较多，有的甚至较严重。许多研究提示部分早期低危宫颈癌者并无宫旁组织转移。近年对宫旁受累的危险因素有了进一步的了解。这为缩小手术范围奠定了基础。对部分早期低危宫颈癌患者似乎可缩小手术范围，实施大的宫颈冷刀锥切加盆腔淋巴结切除术，减少并发症及提高生活质量。

关键词: 宫颈大锥切, 宫颈肿瘤, 宫旁受累, 癌

Abstract:

Radical hysterectomy and radical trachelectomy are important surgical modalities for cervical cancer. Although better effect is accompanied with these operations，many complications might occur，some even more serious. Many clinical trials showed that parametrial involvement was not found in low risk early-stage cervical cancer. In recent years，risk factors for parametrial spread is better understood. All these results establish the basis of less radical surgical procedure for early-stage cervical cancer. Large cervical conization with pelvic lymphadenectomy could be a reasonable therapeutic option for some low risk early-stage cervical cancer to reduce complications and improve quality of life.

Key words: Large cervical conization, Uterine cervical neoplasms, Parametrial involvement, Carcinoma