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[子宫颈癌根治术中功能的保留与根治性]

[Preservation of function and radicality in radical operation of cancer of the uterine cervix].

作者信息

Noda K

机构信息

Department of Obstetrics and Gynecology, Kinki University.

出版信息

Gan To Kagaku Ryoho. 1988 Apr;15(4 Pt 2-2):1150-3.

PMID:3382191
Abstract

Radical hysterectomy is performed in operation for cervical cancers as the treatment of first choice and good results here been obtained. However, postoperative disturbances remain in almost all patients because of this operation, since its range of resection is very wide. To ensure a sound life of patients in society after the operation review of treatment methods is demanded. There are two kinds of approaches from such a standpoint for cervical cancers. The one is recognition of a cervical cancer at such a period as a cure rate of nearly 100% is obtained without radical operation (even if the range of resection is reduced), establishment of diagnostic method such cancers and study of an appropriate operation technique to be performed at this time. The other is investigation of a technique in radical hysterectomy in which physiological functions are preserved without changes of the radicality of cure. At present examination from these two aspects has shown satisfactory results, so that I will state these results here.

摘要

根治性子宫切除术是宫颈癌手术的首选治疗方法,且已取得良好效果。然而,由于该手术切除范围非常广泛,几乎所有患者术后都会出现不适。为确保患者术后能在社会中正常生活,需要对治疗方法进行重新审视。从这个角度来看,宫颈癌有两种治疗方法。一种是在不进行根治性手术(即使缩小切除范围)就能获得近100%治愈率的阶段识别宫颈癌,建立此类癌症的诊断方法,并研究此时应采用的合适手术技术。另一种是研究在根治性子宫切除术中保留生理功能而不改变根治性治愈率的技术。目前从这两个方面进行的研究已取得令人满意的结果,因此我将在此阐述这些结果。

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