国际妇产科学杂志 ›› 2015, Vol. 42 ›› Issue (1): 101-103.

• 综述 • 上一篇    下一篇

扩大性宫旁切除术在宫颈癌治疗中的应用

利奕战,姚德生   

  1. 530021 南宁,广西医科大学附属肿瘤医院
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-02-15 发布日期:2015-02-15
  • 通讯作者: 姚德生

The Application of Laterally Extended Parametrectomy in Treatment of Cervical Cancer

LI Yi-zhan,YAO De-sheng   

  1. Department of Gynecological Oncology,Affiliated Tumor Hospital of Guangxi Medical University,Nanning 530021,China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-02-15 Online:2015-02-15
  • Contact: YAO De-sheng

摘要: 宫颈癌是最常见的妇科恶性肿瘤之一,根治性子宫切除术与常规淋巴结清扫是手术治疗宫颈癌的标准术式,但宫颈癌患者生存率在近数十年中仍未得到显著提高,局部复发是目前影响宫颈癌伴淋巴结转移患者生存率的原因,有证据表明提高患者的局部控制情况就能改善生存率,扩大性子宫旁组织切除术(laterally extended parametrectomy,LEP)可更大范围切除盆腔侧壁淋巴组织,是临床上扩大性子宫切除治疗宫颈癌的一种有效术式。现综述LEP在宫颈癌治疗应用中的理论、疗效、争议、展望,以期为宫颈癌治疗提供另一种手术方式。

关键词: 宫颈肿瘤, 淋巴转移, 子宫切除术, 淋巴结切除术

Abstract: Cervical cancer is one of the most common gynecologic malignant tumor,the survival rate of cervical cancer over the past decades hadn′t improved significantly since radical hysterectomy and lymphadenectomy has been the gold standard of operation method. Local recurrence has an important impact on the survival rate of cervical cancer for the moment,especially the patients with pelvic lymph node metastasis. There is evidence supporting that if the local recurrence has been cut down,the survivals will be improved. Laterally extended parametrectomy (LEP) can remove more lymphatic tissue closed to pelvic wall,which providing an effective surgical treatment among the extended hysterectomy. To provide another efficient operation method,now review the theory,efficacy,controversy and outlook of LEP in the treatment of cervical cancer in this article.

Key words: Uterine cervical neoplasms, Lymphatic metastasis, Hysterectomy, Lymph node excision