Department of Obstetrics and Gynecology, Keio University School of Medicine, Tokyo, Japan.
Department of Obstetrics and Gynecology, Keio University School of Medicine, Tokyo, Japan.
Gynecol Oncol. 2021 Jul;162(1):220-225. doi: 10.1016/j.ygyno.2021.04.023. Epub 2021 Apr 24.
Radical trachelectomy (RT) is a surgery for early-stage cervical cancer treatment that preserves the childbearing ability, and its use has become increasingly common worldwide. Thus, the rate of conception in women who have undergone RT is increasing. However, pregnancy after RT is associated with a higher risk of several obstetric complications such as preterm delivery, preterm premature membrane rupture, and abnormal bleeding from varices at the site of uterovaginal anastomosis. Furthermore, since RT have a residual prophylactic cerclage, it is difficult to manage first- and second-trimester miscarriages. There is little previous data on the management of pregnancy after RT. In this review article, we summarize various management methods and experiences to provide a guide to clinicians for perinatal management after RT.
根治性子宫颈切除术（RT）是一种治疗早期宫颈癌的手术，可以保留生育能力，在世界范围内的应用越来越普遍。因此，接受 RT 的女性的妊娠率正在上升。然而，RT 后妊娠与多种产科并发症的风险增加相关，例如早产、胎膜早破和阴道子宫吻合部位静脉曲张出血。此外，由于 RT 有残余预防性宫颈环扎术，因此很难处理第一和第二孕期的流产。以前关于 RT 后妊娠管理的数据很少。在这篇综述文章中，我们总结了各种管理方法和经验，为 RT 后围产期管理提供临床医生的指导。
