摘要
目的:总结国内外关于年轻、早期宫颈癌患者的治疗现状,探讨广泛性宫颈切除术(RT)在早期宫颈癌患者保留生殖生理功能中的应用价值。方法:应用Medline及CNKI全文数据库检索系统,以"早期宫颈癌、广泛性宫颈切除、保留生殖生理功能"等为关键词,检索1994-01-2011-01的相关文献共100篇。纳入标准:1)RT在早期宫颈癌治疗中的应用;2)宫颈粘连狭窄的防治;3)盆底功能重建。根据纳入标准符合分析的文献16篇。结果:RT能达到与广泛性子宫切除术(RH)同样的治疗效果,两者术后并发症与复发率无明显差异,术中应重视宫颈机能不全及子宫脱垂的防治,提高术后生活质量。结论:合理掌握手术指证,对早期宫颈癌实施保留子宫体的治疗是安全的。
OBJECTIVE：To sum up current treatment status of young patients with early stage cervical cancer and investigate the clinical value of radical abdominal trachelectomy in treating patients who desire preservation of fertility val ue. METHODS： Relative articles between Jan. 1994 to Jan 2011 were searched in Medline and CNKI journal and full text databases,with early stage cervical carcinoma, radical abdominal trachelectomy and fertility preservation as key words and 100 articles were found. Inclusion criteria：l） application of radical abdominal trachelectomy,2） prevention and treatment of cervical stenosis adhesion,3） reconstruction of pelvic floor function. Finally 16 articles were found. RESULTS： Com pared with traditional radical hysterectomy, radical abdominal trachelectomy can achieve the same theraputic effect, with no difference in postoperative complications and recurrence rate. Cervical incompetence and uterine prolapse prevention need to be noticed to improve quality of life after surgery. CONCLUSION： Radical abdominal trachelectomy is safe for retain the uterus body corpus in early cervical cancer with reasonable preoperative assessment.
出处
《中华肿瘤防治杂志》
CAS
北大核心
2012年第8期638-640,共3页
Chinese Journal of Cancer Prevention and Treatment
