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根治性子宫切除术:对22年经验的批判性回顾。

Radical hysterectomy: a critical review of twenty-two years' experience.

作者信息

Underwood P B, Wilson W C, Kreutner A, Miller M C, Murphy E

出版信息

Am J Obstet Gynecol. 1979 Aug 15;134(8):889-98. doi: 10.1016/0002-9378(79)90863-9.

DOI:10.1016/0002-9378(79)90863-9
PMID:463994
Abstract

One hundred seventy-eight patients who had radical hysterectomy performed for management of invasive carcinoma of the cervix over 22 year period at the Medical University of South Carolina were critically analyzed. The degree of differentiation of the malignancy appeared to be of more significance than tumor size in Stage 1 lesions. With proper patient selection and excellent operative technique, survival rates well over 90% with minimal complications can be obtained. The radical hysterectomy should never be used in association with irradiation.

摘要

对南卡罗来纳医科大学在22年期间因宫颈癌浸润癌行根治性子宫切除术的178例患者进行了严格分析。在Ⅰ期病变中,恶性肿瘤的分化程度似乎比肿瘤大小更重要。通过适当的患者选择和精湛的手术技术,可以获得超过90%的生存率且并发症极少。根治性子宫切除术绝不应与放疗联合使用。

相似文献

1
Radical hysterectomy: a critical review of twenty-two years' experience.根治性子宫切除术:对22年经验的批判性回顾。
Am J Obstet Gynecol. 1979 Aug 15;134(8):889-98. doi: 10.1016/0002-9378(79)90863-9.
2
Radical hysterectomy and pelvic lymphadenectomy.根治性子宫切除术和盆腔淋巴结清扫术。
South Med J. 1984 May;77(5):596-600, 602. doi: 10.1097/00007611-198405000-00014.
3
Surgical treatment of stages IB and IIA invasive carcinoma of the cervix by radical abdominal hysterectomy.经腹根治性子宫切除术治疗IB期和IIA期宫颈浸润癌
Am J Obstet Gynecol. 1979 Oct 15;135(4):442-6. doi: 10.1016/0002-9378(79)90427-7.
4
Radical hysterectomy for recurrent carcinoma of the uterine cervix after radiotherapy.放射治疗后子宫颈复发癌的根治性子宫切除术。
Gynecol Oncol. 1994 Oct;55(1):29-35. doi: 10.1006/gyno.1994.1242.
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Combined surgical and radiation treatment of invasive carcinoma of the cervix.子宫颈浸润癌的手术与放射联合治疗
Am J Obstet Gynecol. 1973 May 15;116(2):205-13. doi: 10.1016/0002-9378(73)91052-1.
6
Preoperative radium irradiation and radical hysterectomy in the treatment of cancer of the cervix.术前镭照射与根治性子宫切除术治疗宫颈癌
Am J Obstet Gynecol. 1970 Apr 1;106(7):1054-64. doi: 10.1016/s0002-9378(16)34091-1.
7
PROBLEMS ARISING IN THE SURGICAL MANAGEMENT OF INVASIVE CARCINOMA OF THE CERVIX.子宫颈浸润癌外科治疗中出现的问题
Surgery. 1964 Oct;56:775-83.
8
Survival of women with microinvasive adenocarcinoma of the cervix is not improved by radical surgery.根治性手术并不能提高宫颈微浸润腺癌女性患者的生存率。
Am J Obstet Gynecol. 2017 Sep;217(3):332.e1-332.e6. doi: 10.1016/j.ajog.2017.05.021. Epub 2017 May 15.
9
[Results and complications of 536 radical operations according to Wertheim of the years 1950-1960].[1950年至1960年期间536例按韦特海姆术式进行的根治性手术的结果及并发症]
Zentralbl Gynakol. 1967 Nov 25;89(47):1713-8.
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Analysis of urologic complications after radical hysterectomy.根治性子宫切除术后泌尿系统并发症的分析
Am J Obstet Gynecol. 2008 Dec;199(6):644.e1-3. doi: 10.1016/j.ajog.2008.06.034. Epub 2008 Aug 22.

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Comparison of survival and perioperative outcomes following simple and radical hysterectomy for stage II endometrial cancer: a single-institution, retrospective, matched-pair analysis.II期子宫内膜癌单纯子宫切除术与根治性子宫切除术后生存及围手术期结局的比较:一项单机构回顾性配对分析
J Int Med Res. 2019 Sep;47(9):4469-4481. doi: 10.1177/0300060519863190. Epub 2019 Jul 29.
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Laparoscopic procedure compared with open radical hysterectomy with pelvic lymphadenectomy in early cervical cancer: a retrospective study.早期宫颈癌腹腔镜手术与开放性根治性子宫切除术加盆腔淋巴结清扫术的比较:一项回顾性研究。
Onco Targets Ther. 2018 Sep 18;11:5903-5908. doi: 10.2147/OTT.S156064. eCollection 2018.