Yamabe T
Gan No Rinsho. 1984 May;30(6 Suppl):659-63.
Limited operation is in side spread use recently in surgical treatment of in situ (Stage 0) and microinvasive (Stage Ia) carcinomas of the uterine cervix. Which purpose is to avoid such postoperative complications as vesical paralysis, therefore the simple total or modified radical hysterectomy is performed. However, the conization of the cervix may be received among the young women with strong desire to preserve their child-bearing potential. It is utmost importance to make a correct histological diagnosis prior to the performance of these procedures. In addition it is of importance to examine the histological rest of cancer, postoperatively. On the radiation therapy for Stage 0 and Stage Ia cancers, it is a general agreement that be treated only by intracavitary irradiation.
有限手术最近在子宫颈原位癌(0期)和微浸润癌(Ia期)的外科治疗中得到了广泛应用。其目的是避免诸如膀胱麻痹等术后并发症,因此实施简单的全子宫切除术或改良根治性子宫切除术。然而,对于有强烈保留生育潜能愿望的年轻女性,可考虑行宫颈锥切术。在进行这些手术之前做出正确的组织学诊断至关重要。此外,术后检查癌症的组织学残留也很重要。对于0期和Ia期癌症的放射治疗,普遍的共识是仅通过腔内照射进行治疗。