手术、放疗或手术联合放疗对早期宫颈癌局部控制率均可达到90％,治疗方式的选择依据各种方法的并发症类型和发生率以及医师的经验。虽然近距离放疗后6周手术切除可使1b期宫颈癌完全缓解率达到80％以上,但通常采用的是Piver Ⅲ型子宫根治术。为探讨近距离放疗后阴式子宫切除治疗无不良预后因素(<1.5cm)的早期宫颈癌的有效性和安全性,选择经直接测量或宫颈锥切标本病理学检测肿瘤直径<1.5cm、腹腔镜下淋巴结切除证实无淋巴结转移的早期宫颈癌22例(Ia_2期3例,Ib_1 Surgical, radiotherapy or surgery combined with local radiotherapy for cervical cancer control rate of up to 90%, the choice of treatment based on various types of complications and incidence and the experience of the physician. Although 6 weeks after brachytherapy surgery can make 1b cervical cancer complete remission rate reached more than 80%, but usually used is Piver Ⅲ type radical hysterectomy. To explore the effectiveness and safety of vaginal hysterectomy for early cervical cancer without adverse prognostic factors (<1.5cm) after brachytherapy, we selected either direct measurement or cervical conization specimen pathology to detect tumor diameter <1.5cm, abdominal cavity Microscopic lymph node dissection confirmed early cervical cancer without lymph node metastasis in 22 cases (Ia_2 in 3 cases, Ib_1