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作 者:李文佳 谢晓英[2] LI Wenjia;XIE Xiaoying(The First Clinical Medical College,Gannan Medical University,Jiangxi Province,Ganzhou 341000,China;Department of Obstetrics and Gynecology,the First Affiliated Hospital of Gannan Medical University,Jiangxi Province,Ganzhou 341000,China)
机构地区:[1]赣南医学院第一临床医学院,江西赣州341000 [2]赣南医学院第一附属医院妇产科,江西赣州341000
出 处:《妇儿健康导刊》2023年第2期45-48,共4页JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE
摘 要:子宫颈恶性肿瘤是妇科最多见的癌症之一。早期宫颈癌治疗多以手术为主,宫颈癌根治术的手术方式包括腹腔镜手术和开腹手术。腹腔镜手术治疗早期宫颈癌的优势已被大多数研究证实,但远期疗效尚无较多的研究。2018年一项由全球33个中心参与的前瞻性随机对照研究显示,宫颈癌开腹组死亡率和局部复发率均低于腹腔镜组,引发国际探讨。腹腔镜手术方式有其独特优势,应理性分析导致腹腔镜术式预后不良的相关因素并加以改进,以期为宫颈癌治疗提供更有效、更先进的治疗方式。本文就腹腔镜手术治疗宫颈癌不良预后因素的研究进展进行综述。Cervical malignancy is one of the most common cancers in gynecology.The treatment of early cervical cancer is mainly surgery.The surgical methods of radical resection of cervical cancer include laparoscopy surgery and laparotomy.The advantages of laparoscopic surgery in the treatment of early-stage cervical cancer have been confirmed by most studies,but there are few studies on the long-term efficacy.In 2018,a prospective randomized controlled study involving 33 centers around the world showed that the mortality and local recurrence rates of cervical cancer in the open group were lower than those in the laparoscopic group,which triggered international discussion.Laparoscopic surgery has its unique advantages.The related factors should be rationally analyzed leading to the poor prognosis of laparoscopic surgery and improved in order to provide more effective and advanced treatment for cervical cancer.This article reviews the research progress of adverse prognostic fac tors of laparoscopic surgery for cervical cancer.
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