国际妇产科学杂志

国际妇产科学杂志 ›› 2013, Vol. 40 ›› Issue (4): 297-300.

• 综述 • 上一篇    下一篇

早期宫颈癌患者宫颈广泛切除术保留生育功能研究进展

卢克新, 王建六   

  1. 256603 山东省滨州市，滨州医学院附属医院（卢克新）；北京大学人民医院妇产科（王建六）
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2013-08-15 发布日期:2013-08-15

Review of Fertility Preservation in Early-stage Cervical Cancer Patients with Radical Trachelectomy

LU Ke-xin， WANG Jian-liu   

  1. Department of Obstetrics and Gynecology， Affiliated Hospital of Binzhou Medical College， Binzhou 256603， Shandong Province， China（LU Ke-xin）； Department of Obstetrics and Gynecology， Peking University People′s Hospital， Beijing 100044，China（WANG Jian-liu）
  • Received:1900-01-01 Revised:1900-01-01 Published:2013-08-15 Online:2013-08-15

PDF (PC)

5129

被引次数

5

摘要： 随着宫颈细胞学筛查的日益普及，使得宫颈癌的发病率显著降低，但宫颈癌的发病呈年轻化趋势，使得未育患者比例显著增多，目前仍是全球妇科恶性肿瘤患者的主要死因。国内外有报道，对于年轻的早期宫颈癌患者，可行经阴道或开腹及腹腔镜下宫颈广泛切除术+盆腔淋巴结切除术，从而保留生育功能。每种术式均可以保留生育功能，但对生育的影响不尽相同，复习相关文献，综述宫颈广泛切除术的适应证、手术进展及术后妊娠情况。

关键词: 宫颈肿瘤, 子宫切除术, 子宫切除术, 阴道式, 腹腔镜, 生育力

Abstract: The popularization of cervical cytological test significantly reduced the incidence of cervical cancer. However，cervical cancer is still the leading cause of death of the global gynecological cancer patients and the age of the patients is getting younger and younger. The young patients with early-stage cervical cancer can be treated with radical trachelectomy and bilateral pelvic lymph node dissection by vaginal， abdominal or laparoscopic methods， to preserve their fertility， which has been reported at home and abroad. By reviewing the related literature， this article gives us a brief summary of the indications，surgical progress and the pregnancy after the radical surgery of cervix.

Key words: Uterine cervical neoplasms, Hysterectomy, Hysterectomy, vaginal, Laparoscopes, Fertility