Piver M S, Lee J Y
Department of Obstetrics and Gynecology, Sisters of Charity Hospital, Buffalo, NY 14214, USA.
Eur J Gynaecol Oncol. 2008;29(2):109-13.
Class II modified radical hysterectomy reported in 1974 by Piver, Rutledge and Smith for cervical cancer is an extended hysterectomy that has less dissection of the ureter from the paracervical tissues, ligation of the uterine vessels just medial to the ureter to ensure preservation of the distal ureteral blood supply, and less radical parametrectomy preserving the lateral parametrium. The authors present a 21st century personal perspective on the use of a type II hysterectomy based on the 1994 FIGO changes in classification of Stage IAI, IA2, IBI and IB2.
1974年，皮弗、拉特利奇和史密斯报道的用于宫颈癌的II类改良根治性子宫切除术是一种扩大性子宫切除术，它减少了输尿管与宫颈旁组织的分离，在输尿管内侧结扎子宫血管以确保保留输尿管远端血供，并减少了根治性子宫旁组织切除术，保留了外侧子宫旁组织。作者基于1994年国际妇产科联盟（FIGO）对IA1、IA2、IB1和IB2期分类的变化，提出了关于II类子宫切除术应用的21世纪个人观点。
