宫颈大锥切术可以作为早期宫颈癌治疗的一种术式吗?

摘要

Radical hysterectomy and radical trachelectomy are important surgical modalities for cervical cancer.Although better effect is accompanied with these operations,many complications might occur, some even more serious.Many clinical trials showed that parametrial involvement was not found in low risk early-stage cervical cancer. In recent years, risk factors for parametrial spread is better understood. All these results establish the basis of less radical surgical procedure for early-stage cervical cancer. Large cervical conization with pelvic lymphadenectomy could be a reasonable therapeutic option for some low risk early-stage cervical cancer to reduce complications and improve quality of life.%根治性子宫切除术及根治性宫颈切除术是治疗宫颈癌的重要术式,其对肿瘤的控制有较好的疗效,但并发症较多,有的甚至较严重.许多研究提示部分早期低危宫颈癌者并无宫旁组织转移.近年对宫旁受累的危险因素有了进一步的了解.这为缩小手术范围奠定了基础.对部分早期低危宫颈癌患者似乎可缩小手术范围,实施大的宫颈冷刀锥切加盆腔淋巴结切除术,减少并发症及提高生活质量.