淋巴结转移是影响早期宫颈癌患者预后的重要因素,应用前哨淋巴结活检技术,可对淋巴转移情况作出较好的预测。前哨淋巴结活检是为淋巴结未发生转移的宫颈癌患者避免不必要的淋巴清扫术提供依据。前哨淋巴结可采用淋巴绘图方法识别,观察其分布。这一新技术包括肿瘤的″超分期″、多步分层切片及免疫组化染色和分子生物学的研究,使淋巴转移的检测更为准确,阳性率更高。前哨淋巴结预测淋巴转移的准确性和切除疗效还有待长期随访观察。 Lymph node metastasis is an important factor affecting the prognosis of patients with early cervical cancer. Using sentinel lymph node biopsy technique can make a better prediction of lymphatic metastasis. Sentinel lymph node biopsy provides a basis for avoiding unnecessary lymph node dissection in patients with cervical cancer who have not metastasized to lymph nodes. Sentinel lymph nodes can be lymphatic mapping method to identify and observe the distribution. The new technology includes “ultra-staging” of tumors, multi-step hierarchical sectioning and immunohistochemical staining and molecular biology to make the detection of lymphatic metastasis more accurate and with a higher positive rate. Sentinel lymph node prediction of lymph node metastasis accuracy and excision efficacy remains to be observed by long-term follow-up.