保留盆腔自主神经的子宫颈癌根治性手术中国专家共识

Chinese expert consensus on nerve-sparing radical hysterectomy for cervical cancer

子宫颈癌是妇科常见恶性肿瘤。针对早期患者的子宫颈癌根治性手术会对盆腔自主神经造成损伤,导致术后排尿、排便及性功能障碍。为了提高患者术后生活质量,国际Q-M分型推荐将保留盆腔自主神经的子宫颈癌根治性手术(C1型手术)作为主要术式开展。中国医师协会妇产科医师分会妇科肿瘤学组邀请多名中国妇科肿瘤领域专家,基于当前相关研究现状,对保留盆腔自主神经的子宫颈癌根治性手术的解剖基础、手术指征、技术要点、术后评估等诸多关键性问题进行深入探讨,最终达成保留盆腔自主神经的子宫颈癌根治性手术中国专家共识,以指导C1型手术在中国的规范化应用。

Cervical cancer is the most common gynecologic malignancy.Radical hysterectomy for early-stage cervical cancer could cause damage to pelvic autonomic nerves,leading to postoperative urination,defecation and sexual dysfunction.In order to improve the postoperative quality of life,the international Querleu-Morrow(Q-M)surgical classification system recommends the nerve-sparing radical hysterectomy(type-C1)as the mainstay operation.The Gynecologic Oncology Group affiliated to Chinese Obstetricians and Gynecologists Association has invited a number of domestic specialists and conducted in-depth discussions on key issues such as anatomical basis,surgical indications,techniques,postoperative evaluation for nerve-sparing radical hysterectomy.Finally,the specialists reach a consensus to guide the standardized application of this procedure in China.