腹腔镜下保留生育功能宫颈癌根治术后近足月分娩1例及文献复习

A case report of near term delivery after fertility preserving laparoscopic radical hysterectomy for cervical cancer and literature review

保留生育功能的宫颈癌根治术(广泛性宫颈切除术)已有近30年的历史,相关病例报道较少,而术后妊娠率和活产率一直备受关注。本文报道1例31岁宫颈癌ⅠB1期患者,在接受腹腔镜下广泛性宫颈切除术后最终成功妊娠,且在妊娠36周+3时行剖宫产术顺利分娩,并总结保留生育功能的宫颈癌根治术的相关文献,为临床治疗提供依据。

Fertility preserving radical hysterectomy(radical trachelectomy)for cervical cancer has a history of nearly 30 years.There are few related case reports,but the postoperative pregnancy rate and live birth rate have been concerned.This article reports a 31-year-old patient with cervical cancer stageⅠB1 who finally achieved pregnancy after laparoscopic radical trachelectomy,and cesarean section was performed at 36+3 gestational weeks.The relevant literature of radical hysterectomy for cervical cancer with fertility preservation is summarized to provide a basis for clinical treatment.