目的:探讨宫颈残端肿瘤的外科治疗方法及手术技巧,提高外科治疗水平。方法:回顾性分析我院自2005年5月至2007年11月手术治疗的宫颈残端肿瘤22例。结果:全组病例行不同程度的残余宫颈切除术,16例辅以不同程度的放疗或化疗,全切率100%,无手术相关死亡,3例并发膀胱损伤,术后恢复良好。结论:根治性手术风险高,难度大,只有根据病情采取合理的术式,掌握手术技巧,宫颈残端肿瘤才望获得较好的疗效。
Citation:
LAI Zengzhen,LIU Xia,CHEN Yan,et al.. Analysis in Surgical Treatment of 22 Cases Having Cervical Stump Carcinoma. West China Medical Journal, 2009, 24(2): 323-325. doi:
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- 1. HannounLevi J M,Peiffert D.Hoffstetter S,et al.Carcinoma of the cervical stump:retrospective analysis of 77 cases[J].Radiotherapy and Oncology,1997,43,147-153..
- 2. Mikuta JJ,Giuntoli RL,Rubin E C,et al.The“problem”radical hysterectomy[J].Am J Obstet Gynecol,1977,128:119..
- 3. Miller BE,Copeland LJ,Hamberger AD,et al.Carcinoma of the cervical stump[J].Gynecol Oncol,1984,18:100-108..
- 4. 邹冰玉,程小尧,郭晓霞,等.宫颈残端切除9 例临床分析[J].实用妇产科杂志,2007,23(6):377..
- 5. DiazFeijoo B,GilMoreno A,Puig O,et al.Total laparoscopic radical trachelectomy with intraoperative sentinel node identification for early cervical stump cancer[J].J Minim Invasive Gynecol,2005,12(6):522-524..
- 6. Lee YS,Lee TH,Koo TB,Cho YL,IlS Park.Laparoscopicassisted radical parametrectomy including pelvic and/or paraaortic lymphadenectomy in women after prior hysterectomythree cases[J].Gynecol Oncol,2003,91(3):619-622..
- 7. LZ,XU H,CHEN Y,et al.Laparoscopic radical trachelectomy or parametrectomy and pelvic and paraaortic lymphadenectomy for cervical or vaginal stump carcinoma:report of six cases[J].Gynecol Cancer,2006,16:1713-1716..
- 8. 杨丽,杜建英.子宫次全切除术两种不同术式预防宫颈残端癌效果观察[J].肿瘤防治杂志,2001,8(4):447..