保留生育功能的宫颈根治术11例临床分析

摘要

目的：探讨根治性宫颈切除术在早期宫颈癌治疗中的可行性及临床疗效。方法对2011年1月至2013年5月，11例Ⅰa1～Ⅰb1期宫颈癌患者，施行经阴道根治性宫颈切除术加腹腔镜下盆腔淋巴结切除术。观察其手术时间、出血量、术后并发症、术后生存及生育情况。结果宫颈根治术手术时间3.5～4.5h，平均（3.5±0.8）h，术中出血量200～400mL，平均（298±20）mL。术后1个月内恢复正常月经，术后无发生淋巴囊肿；术后平均随访至今，11例患者生存至今，其中1例成功受孕并生育。结论对Ⅰa1～Ⅰb1期年轻宫颈癌患者，行保留生育功能的手术是可行的。%Objective To explore the feasibility and clinical efficacy of radical trachelectomy in early cervical cancer. Methods From Jan. 2011 to May 2013, 11 patients with la1-lb1 cervical cancer were underwent RVT and La Paroseopic Pelvic Lymphadenectomy. We Observe the duration of operations, bleeding volume, postoperative complications, and postoperative living and fertility circumstances.Results Duration of radical trachelectomy is 3.5~4.5 h, on an average of (3.5±0.8)h. Bleeding volume during operation is 200~400 ml, on an average of (298±20)ml. Menstrual status goes back to normal in a month after operation. No lymphocyst after operation and al 11 patients survived til now and one of them successfuly conceived and labored.Conclusion The fertility-sparing surgery is feasible for la1~lb1 young patients with cervical cancer.