根治性宫颈切除术治疗年轻早期宫颈鳞癌21例临床分析  

The Clinical Study of 21 Cases of Radical Cervix Excision to Treat Early Cervical Carcinoma and Preserve Fertility

作　　者：邓继红[1] 张燕萍[1] 李之莉[1] 张雯[1] 

机构地区：[1]昆明市妇幼保健院,云南昆明650031

出　　处：《实用妇产科杂志》2011年第11期848-850,共3页Journal of Practical Obstetrics and Gynecology

基　　金：昆明市科技计划项目(合同编号:昆科计字06S115138号)

摘　　要：目的:探讨对年轻早期宫颈鳞癌患者实施根治性宫颈切除术的价值。方法:对21例23～40岁早期宫颈鳞癌患者实施根治性宫颈切除+盆腔淋巴结切除术,术后从生殖、生理、肿瘤复发3个角度对其进行临床追踪随访,随访时间2～5年。结果:21例患者中19例完成随访,5例要求生育的患者4例妊娠,其中1例妊娠6月引产,2例孕早期流产,1例异位妊娠。19例患者术后均有月经来潮,3例卵巢储备功能下降。术后随访2～5年,无一例患者复发。结论:对年轻早期宫颈鳞癌患者实施根治性宫颈切除保留子宫体的手术是安全的、可行的,明显提高了术后患者的生活质量,且有足月妊娠的可能。Objective： To investigate the feasibility of radical cervix excision in young women with early squamous cervical cancer. Methods ：21 patients （age range from 23 to 40 years） with early squamous cervical ccarcinoma had radical cervix excision and pelvic lymph nodes dissection. The reproductive ability, physiological function and tumor relapse after operation were followed up for 2～5 years. Results：The complete follow-up was finished in 19 of 21 patients, 4 out of 5 patients who wanted to have pregnancy succeeded, one had induction of labor after 6 months＇ pregnancy, two had spontanous abortion at first trimester, one suffered ectopic pregnancy. 19 patients had menstruation, 3 patients suffered ovarian function decrease. During the follow up, no relapse was found. Conclusions： Radical cervix excision for young cervical squamous carcinoma patients who want to preserve fertility is safe, feasible, can conserve a relatively good quality of life , and may give the patients a chance to have term pregnancy.

关 键 词：宫颈鳞癌 根治性宫颈切除术 复发 

分 类 号：R737.33[医药卫生—肿瘤]