根治性宫颈切除术术后盆底功能重建

Pelvic floor reconstruction after radical trachelectomy

根治性宫颈切除术是治疗早期宫颈癌的新术式,包括宫颈切除术和盆腔淋巴清扫术。因子宫体未切除,因此保留了生育功能,临床应用证明,该术式疗效和并发症与根治性子宫切除术相似,部分有生育要求的患者可达到足月妊娠,该术式开辟了当今肿瘤治疗既微创又保留生理功能的新途径,但是根治性宫颈切除术后盆底功能重建是需要解决的问题,本文就此展开综述。

Radical trachelectomy is a new technique for early cervical cancer, including the resection of cervix and pelvic lymph node. Because the uterus is not removed, reproductive function could he preserved. It has been proved that its efficacy and complications is similar with the radical hysterectomy. And full-term pregnancy can he achieved in some patients. It could not only treat patients minimally invasively but also retain physiological functions. However,the pelvic floor reconstruction is the main preblem for it. This article will be concentrate on it.