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子宮颈癌,尤其是早期侵犯性病变,手术治疗的复兴和发展,已成近期医学重要进步之一;近來 世界各地日益广泛采用,且为不可缺少的治疗方法。发展簡史 Burnham氏(1853)首先对子宮恶性肿瘤(肉瘤)行子宮全截除术。Freund氏(1878)倡议用此术治疗子宮頸癌。1895年,Ries及Latzko二氏各自建議行子宮全截除水时,同时系統摘除盆腔淋巴結。Ries氏系根据当时Halsted氏倡用的乳癌根治术原則及屍体盆腔解剖的經驗而提出者。两年后,Clark氏及Thring氏分別报告共10例的子宫全截除合併宮旁组織及盆腔髂总脉管分叉部淋巴结鏈
Cervical cancer, especially early invasive lesions, and the revival and development of surgical treatment have become one of the most important recent advances in medicine. Recently, it has become increasingly popular in many parts of the world and is an indispensable treatment. A Brief History of Development Burnham’s (1853) first performed a total hysterectomy of the uterine malignancy (sarcoma). Freund’s (1878) initiative to use this technique for the treatment of cervical cancer. In 1895, Ries and Latzko two each proposed to take the uterus completely cut off the water, while systematic removal of pelvic lymph nodes. Ries’s line was based on the principle of radical mastectomy and the experience of pelvic anatomy advocated by Halsted at the time. Two years later, Clark’s and Thring’s respectively reported a total of 10 cases of uterine incision combined with para-parametrial tissue and pelvic iliac vessels at the bifurcation lymph node chain