复发性宫颈癌手术治疗

Surgical management of recurrent cervical cancer

宫颈癌复发后预后不良,进一步治疗的方案取决于复发情况及初次治疗情况,主要分放疗和手术治疗两类。前者可用于初次手术治疗后的盆腔局部复发和主动脉旁淋巴结复发,联合同步化疗有更好效果;后者主要为盆腔脏器廓清术,可用于根治性放疗后的患者,但需严格筛选病例。

The outcome of recurrent cervical cancer is unfavorable. Further managements lying on the con- dition of recurrence and initial treatments mainly in- clude radiotherapy and surgery. The former is available for local recurrence after primary surgery and para- aortic nodal recurrence,which shows better effects when combined with concurrent chemotherapy. The latter is pelvic exenteration, which can be applied to those after radical radiation, but the patients should be well screened.