Ivanov S
Akush Ginekol (Sofiia). 2007;46(2):22-4.
Our aim was to examine the patients with stage IIB cervical cancer and the use of radical surgical approach-radical hysterectomy Wertheim-Meigs type.
450 patients were examined for the period of 1995 till 2006, all of them stage IIB cervical cancer.
The radical hysterectomy Wertheim-Meigs type was applied for all the patients in the group. The parametrial invasion correlates significantly with the metastases in the pelvic lymph nodes. The adjuvant radiotherapy is given for patients with high risky factors: positive lymph nodes, infiltration of the parametria and positive resection lines.
The use of radical hysterectomy with pelvic lymph node dissection leads to better results in patients with IIB stage cervical cancer.
我们的目的是研究IIB期宫颈癌患者以及采用根治性手术方法——韦特海姆-梅格斯式根治性子宫切除术的情况。
在1995年至2006年期间对450例患者进行了检查,所有患者均为IIB期宫颈癌。
该组所有患者均采用韦特海姆-梅格斯式根治性子宫切除术。宫旁浸润与盆腔淋巴结转移显著相关。对具有高危因素的患者进行辅助放疗:淋巴结阳性、宫旁浸润和切缘阳性。
对于IIB期宫颈癌患者,采用根治性子宫切除术加盆腔淋巴结清扫术可取得更好的效果。