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围手术期麻醉对宫颈癌手术患者术后预后的影响。

Effects of perioperative anesthetics on the postoperative prognosis of patients undergoing surgery for cervical cancer.

作者信息

Deng Linyan, Wang Tingting, Zhang Qiaofeng, Shu Shaofang, Chen Xiangdong

机构信息

Department of Anesthesiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Institute of Anesthesia and Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

出版信息

Front Pharmacol. 2025 Mar 10;16:1536663. doi: 10.3389/fphar.2025.1536663. eCollection 2025.

DOI:10.3389/fphar.2025.1536663
PMID:40129947
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11931120/
Abstract

Cervical cancer is a common malignancy among women, and tumor excision is the most common surgical intervention. Anesthetics used during surgery include general intravenous, volatile, local anesthetics, sedative and analgesic. Studies have shown that the selection of perioperative surgical methods and anesthetics may influence postoperative metastasis and cancer recurrence through their effects on the immune response and tumor cells. Therefore, the selection of perioperative anesthetic has a significant impact on patients undergoing surgery for cervical cancer. This study summarizes the effects and related mechanisms of common anesthetics on the prognosis of patients undergoing surgery for cervical cancer to provide a basis for developing more optimal anesthesia protocols.

摘要

宫颈癌是女性常见的恶性肿瘤,肿瘤切除是最常见的外科手术干预方式。手术中使用的麻醉剂包括全身静脉麻醉药、挥发性麻醉药、局部麻醉药、镇静药和镇痛药。研究表明,围手术期手术方法和麻醉剂的选择可能通过对免疫反应和肿瘤细胞的影响来影响术后转移和癌症复发。因此,围手术期麻醉剂的选择对接受宫颈癌手术的患者有重大影响。本研究总结了常用麻醉剂对宫颈癌手术患者预后的影响及相关机制,为制定更优化的麻醉方案提供依据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea13/11931120/4bcc26eba69e/fphar-16-1536663-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea13/11931120/9bc9c16cea32/fphar-16-1536663-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea13/11931120/4bcc26eba69e/fphar-16-1536663-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea13/11931120/9bc9c16cea32/fphar-16-1536663-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea13/11931120/4bcc26eba69e/fphar-16-1536663-g002.jpg

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本文引用的文献

1
Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries.2022 年全球癌症统计数据:全球 185 个国家和地区 36 种癌症的发病率和死亡率全球估计数。
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Apoptosis, Proliferation, and Autophagy Are Involved in Local Anesthetic-Induced Cytotoxicity of Human Breast Cancer Cells.凋亡、增殖和自噬参与局部麻醉药诱导的人乳腺癌细胞毒性。
Int J Mol Sci. 2022 Dec 7;23(24):15455. doi: 10.3390/ijms232415455.
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Application of sevoflurane combined with remifentanil anesthesia in laparoscopic radical hysterectomy for cervical cancer.
七氟醚联合瑞芬太尼麻醉在宫颈癌腹腔镜根治性子宫切除术中的应用
Am J Transl Res. 2022 Nov 15;14(11):8361-8370. eCollection 2022.
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Sevoflurane but not propofol enhances ovarian cancer cell biology through regulating cellular metabolic and signaling mechanisms.七氟醚而非异丙酚通过调节细胞代谢和信号机制增强卵巢癌细胞生物学特性。
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Morphine stimulates cervical cancer cells and alleviates cytotoxicity of chemotherapeutic drugs via opioid receptor-dependent and -independent mechanisms.吗啡通过阿片受体依赖和非依赖机制刺激宫颈癌细胞并减轻化疗药物的细胞毒性。
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Local anesthetic lidocaine induces growth suppression of HeLa cells by decreasing and changing the cellular localization of the proliferation marker Ki-67.局部麻醉药利多卡因通过降低和改变增殖标志物Ki-67的细胞定位来诱导HeLa细胞生长抑制。
Genes Cells. 2022 Nov;27(11):675-684. doi: 10.1111/gtc.12983. Epub 2022 Sep 14.
7
Effect of Propofol or Etomidate as General Anaesthesia Induction on Gastric Cancer: A Retrospective Cohort Study with 10 Years' Follow-Up.丙泊酚或依托咪酯全身麻醉诱导对胃癌的影响:一项10年随访的回顾性队列研究
Cancer Manag Res. 2022 Aug 8;14:2399-2407. doi: 10.2147/CMAR.S361052. eCollection 2022.
8
Isoflurane Promotes Cell Proliferation, Invasion, and Migration by Regulating BACH1 and miR-375 in Prostate Cancer Cells In Vitro.异氟醚通过调控前列腺癌细胞中的 BACH1 和 miR-375 促进细胞增殖、侵袭和迁移。
Int J Toxicol. 2022 May-Jun;41(3):212-224. doi: 10.1177/10915818221084906. Epub 2022 May 9.
9
Propofol Augments Paclitaxel-Induced Cervical Cancer Cell Ferroptosis .丙泊酚增强紫杉醇诱导的宫颈癌细胞铁死亡
Front Pharmacol. 2022 Apr 20;13:816432. doi: 10.3389/fphar.2022.816432. eCollection 2022.
10
Morphine in Combination with Ketamine Improves Cervical Cancer Pain and Suppresses Immune Function via the JAK3/STAT5 Pathway.吗啡联合氯胺酮通过 JAK3/STAT5 通路改善宫颈癌痛并抑制免疫功能。
Pain Res Manag. 2022 Apr 21;2022:9364365. doi: 10.1155/2022/9364365. eCollection 2022.