论文部分内容阅读
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 summarize the current status of treatment of young and early stage cervical cancer patients both at home and abroad, and to explore the value of extensive cervical resection (RT) in preserving reproductive physiology in patients with early stage cervical cancer. Methods: Using Medline and CNKI full - text database retrieval system, we searched the relevant articles of 1994-01-2011-01 for a total of 100 articles with the key words of “early cervical cancer, extensive cervical resection and retention of reproductive physiology function”. Inclusion criteria: 1) the application of RT in the treatment of early cervical cancer; 2) the prevention and treatment of cervical stenosis; 3) pelvic floor reconstruction. According to the inclusion criteria, 16 articles were analyzed. Results: RT can achieve the same therapeutic effect as general hysterectomy (RH). There was no significant difference between the two in the postoperative complications and recurrence rate. In the operation, cervical incompetence and prevention of uterine prolapse should be emphasized and postoperative life should be improved quality. Conclusion: It is safe to master the surgical indications reasonably and to preserve the uterus in early cervical cancer.