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[根治性宫颈切除术作为一种保留生育功能的选择——手术方法、结果及生育率]

[Radical trachelectomy as a fertility-preserving option--operative methods, outcomes and fertility rates].

作者信息

Berkowitz Elad, Ben-David Yehuda

机构信息

HaEmek Medical Center, Afula.

出版信息

Harefuah. 2008 Apr;147(4):320-3, 374.

Abstract

Radical trachelectomy is a relatively new procedure, performed in early stage cervical cancer in young women who choose to preserve their fertility. Two different techniques have been described in the past few years, vaginal and abdominal radical trachelectomy. This review aims to describe and compare the two procedures with regard to: surgical technique, complications, patient survival and fertility. A Medline search was performed, using radical trachelectomy and cervical cancer as the keywords. We included only large series published in the English literature. Case reports were excluded. We believe that since the oncologic outcome is not altered as compared with the traditional approach, this new surgical treatment (radical trachelectomy) for early cervical cancer in young patients desiring to preserve their fertility, should be considered in relevant patients.

摘要

根治性宫颈切除术是一种相对较新的手术,用于早期宫颈癌且希望保留生育能力的年轻女性。在过去几年中描述了两种不同的技术,即经阴道根治性宫颈切除术和经腹根治性宫颈切除术。本综述旨在从手术技术、并发症、患者生存率和生育能力方面描述和比较这两种手术。以根治性宫颈切除术和宫颈癌为关键词进行了医学文献数据库检索。我们仅纳入发表在英文文献中的大型系列研究。病例报告被排除。我们认为,与传统方法相比,肿瘤学结局未改变,对于希望保留生育能力的早期宫颈癌年轻患者,这种新的手术治疗(根治性宫颈切除术)应在相关患者中予以考虑。

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