保留生育功能的根治性宫颈切除术探讨(附3例报道)

Transabdominal radical trachelectomy combined with pelvic lymphadenectomy in the treatment of early-stage cervical carcinoma:A Report of 3 cases

目的:探讨根治性宫颈切除术治疗年轻早期宫颈癌的可行性。方法:选择2008年2月～9月在我院住院要求保留子宫的3例年轻早期宫颈癌患者行盆腔淋巴结清扫术及根治性宫颈切除术。结果:手术时间140～150min,术中出血量150～260 ml,3例均无严重并发症,术后1个月恢复正常月经。随访7～14个月,均未发现复发,尚无妊娠病例。结论:年轻早期宫颈癌行根治性宫颈切除联合盆腔淋巴结清扫术是可行的,手术可保留患者的生育功能。

Objective： To evaluate the feasibility of radical trachelectomy combined with pelvic lymphadenec- tomy in the treatment of early-stage cervical carcinoma. Methods： Three young women with early-stage cervical carcinoma, demanding the preservation of child-bearing potentials, were treated from February 2008 to September 2008. Results： The operation time was 140~150 rain, and the estimated blood loss was 150～260 ml. No complications were found. Normal menses recovered one month after operation. Mean following-up 7～14 months （mean10.5months）found no recurrence in all the patients. Conclusions： Radical trachelectomy combined with pelvic lymphadenectomy is a feasible method for early-stage cervical carci- noma in young patients with child-bearing demands.