根治性宫颈切除术1例并文献复习

Radical Trachelectomy: Report of a Case and Literature Review

目的探讨广泛性宫颈切除术在早期宫颈癌手术治疗中的可行性和安全性。方法回顾性分析1例早期宫颈癌患者临床资料,并复习国内外文献,总结保留生育功能的根治性宫颈切除术(RT)的临床进展。结果患者术中术后无并发症发生,随访期间无复发。结论对年轻宫颈癌患者实施保留生育功能的RT手术是可行的,RT术后妊娠结局仍需大样本资料研究证实。

Objective To explore the feasibility and safety of radical trachelectomy （RT ） in the treatment of early-stage cervical carcinoma. Methods The clinical data of one patient with early-stage cervical carcinoma were analyzed retrospectively and the domestic and foreign literature was reviewed. In addition, the clinical progress in RT, a fertility-preserving surgery, was summarized. Results No complications were found during and after operation and no recurrences occurred during follow-up period in the patient. Conclusion The RT is feasible for young patients with early-stage cervical carcinoma. However, a large samples still be needed to confirm the pregnancy outcomes after RT.