国际生殖健康/计划生育 ›› 2017, Vol. 36 ›› Issue (3): 226-229.

• 综述 • 上一篇    下一篇

早期宫颈癌保留生育功能的研究进展

孙雨欣,刘开江   

  1. 200127  上海交通大学医学院附属仁济医院妇科肿瘤科
  • 收稿日期:2017-04-11 修回日期:2017-04-24 出版日期:2017-05-15 发布日期:2017-05-15
  • 通讯作者: 刘开江,E-mail:liukaijiang@263.net E-mail:liukaijiang@263.net

Research Progress of Fertility-Sparing for Early-Stage Cervical Cancer

SUN Yu-xin,LIU Kai-jiang   

  1. Department of Gynecological Oncology,Renji Hospital,School of Medicine,Shanghai Jiao Tong University,Shanghai 200127,China
  • Received:2017-04-11 Revised:2017-04-24 Published:2017-05-15 Online:2017-05-15
  • Contact: LIU Kai-jiang,E-mail:liukaijiang@263.net E-mail:liukaijiang@263.net

摘要: 近年来宫颈癌的发病呈年轻化趋势,随着女性婚育年龄推后及国家生育政策的放开,使得有生育需求的子宫颈癌患者比例增加。如何在治疗肿瘤的同时,保留患者生育功能,提高生活质量,已成为妇科肿瘤医师共同努力的目标及研究热点之一。宫颈广泛切除术(radical trachelectomy,RT)的应用及发展使得年轻有生育要求的早期宫颈癌患者获得了生育的希望。通过回顾近年来相关文献,对早期子宫颈癌患者保留生育功能的适应证、手术方式以及治疗后的肿瘤结局与妊娠结局进行综述。

关键词: 宫颈肿瘤, 化学疗法, 辅助, 腹腔镜, 生育力, 妊娠结局, 子宫颈

Abstract: Many cases of cervical cancer are diagnosed in young woman who wish to preserve their fertility. As more and more women are delaying childbearing, and childbearing policy has been newly regulated in China, fertility preservation has become an important consideration in those patients with cervical cancer. It is an objective of gynecological oncology doctors, and a research hotspot, how to preserve fertility and improve living quality while treat their cancer. Radical trachelectomy (RT) can provide more fertile chance for those young patients with the cervical cancer at early stage. By reviewing literatures, we mainly discussed the selection criteria for fertility-sparing surgery, the specific surgery approach, and the oncological and pregnancy outcomes after fertility-sparing surgery.

Key words: Uterine cervical neoplasms, Chemotherapy, adjuvant, Laparoscopes, Fertility, Pregnancy outcome, Cervix uteri