国际生殖健康/计划生育杂志

国际生殖健康/计划生育 ›› 2016, Vol. 35 ›› Issue (1): 83-86.

• 综述 • 上一篇    

宫颈锥切术及根治性宫颈切除术术后妊娠结局及其相关问题

翟军迎，邓晓惠   

  1. 250012 济南，山东大学齐鲁医院（翟军迎，邓晓惠）；山东省曲阜市妇幼保健院（翟军迎）
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2016-01-15 发布日期:2016-01-15
  • 通讯作者: 邓晓惠

Pregnancy Outcomes in Patients after Cervical Conization and Radical Trachelectomy: A Review

ZHAI Jun-ying，DENG Xiao-hui   

  1. Qilu Hospital of Shandong University，Jinan 250012，China（ZHAI Jun-ying，DENG Xiao-hui）；Shandong Qufu Maternity and Child Health-care Hospital，Qufu 273100，Shandong Province，China（ZHAI Jun-ying）
  • Received:1900-01-01 Revised:1900-01-01 Published:2016-01-15 Online:2016-01-15
  • Contact: DENG Xiao-hui

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摘要： 目前，宫颈上皮内瘤样病变（CIN）和宫颈癌患者有明显年轻化趋势，患者多为生育年龄妇女，包括大量未婚未产妇，治疗后迫切希望保留生育功能。宫颈锥切术和根治性宫颈切除术主要分别适用于有生育要求的CIN和早期宫颈癌患者。这两种手术方式在不降低宫颈病变治愈率的前提下，切除部分宫颈组织，保留了子宫体，患者术后具有生育功能。近年来学者对这两种术式进行了大量研究，分析手术对患者受孕能力、妊娠结局及分娩方式的影响，研究如何提高术后受孕能力，避免不良妊娠结局的发生，采取何种分娩方式结束妊娠。综合国内外文献，就术后妊娠结局及其相关问题，对宫颈锥切术和根治性宫颈切除术进行分别阐述。

关键词: 宫颈上皮内瘤样病变, 宫颈肿瘤, 子宫颈, 妊娠结局, 宫颈锥切术, 根治性宫颈切除术

Abstract: Currently, the age of patients with cervical intraepithelial neoplasia（ＣＩＮ） and cervical cancer shows a more apparent tendency of younger. Most of them are of childbearing age, including a large number of unmarried and nullipara women who are eager to preserve their fertility after treatment. Cervical conization and radical trachelectomy（ＲＴ） were mainly applied in those patients with CIN and early cervical cancer who have reproductive requirement. Without compromising the cure rate of cervical lesions, both surgical procedures remove part of cervical tissue. These patients could be pregnant because of the retained corpus uteri. In recent years, there were many studies on the two surgical procedures, such as the fertility preservation, pregnant complications, pregnancy outcomes and the mode of delivery. This paper reviews the pregnancy outcomes, as well as some related factors, in those patients with CIN and early cervical cancer after cervical conization and RT.

Key words: Cervical intraepithelial neoplasia, Uterine cervical neoplasms, Cervix uteri, Pregnancy outcome, Conization, Radical cervical resection