Analysis in Surgical Treatment of 22 Cases Having Cervical Stump Carcinoma_West China Medical Journal

Authors：

LAI Zengzhen , LIU Xia , CHEN Yan , et al.

West China Second University Hospital，Sichuan University，Chengdu 610041，China;

Corresponding?author：

Keywords：

宮頸殘端腫瘤; 手術治療; 子宮次全切除術

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目的：探討宮頸殘端腫瘤的外科治療方法及手術技巧，提高外科治療水平。方法：回顧性分析我院自2005年5月至2007年11月手術治療的宮頸殘端腫瘤22例。結果：全組病例行不同程度的殘余宮頸切除術，16例輔以不同程度的放療或化療，全切率100%，無手術相關死亡，3例并發膀胱損傷，術后恢復良好。結論：根治性手術風險高，難度大，只有根據病情采取合理的術式，掌握手術技巧，宮頸殘端腫瘤才望獲得較好的療效。

Citation： LAI Zengzhen,LIU Xia,CHEN Yan,et al.. Analysis in Surgical Treatment of 22 Cases Having Cervical Stump Carcinoma. West China Medical Journal, 2009, 24(2): 323-325. doi: Copy

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1. HannounLevi J M，Peiffert D.Hoffstetter S，et al.Carcinoma of the cervical stump：retrospective analysis of 77 cases[J].Radiotherapy and Oncology，1997，43，147-153..
2. Mikuta JJ，Giuntoli RL，Rubin E C，et al.The“problem”radical hysterectomy[J].Am J Obstet Gynecol，1977，128：119..
3. Miller BE，Copeland LJ，Hamberger AD，et al.Carcinoma of the cervical stump[J].Gynecol Oncol，1984，18：100-108..
4. 鄒冰玉，程小堯，郭曉霞，等.宮頸殘端切除9 例臨床分析[J].實用婦產科雜志，2007，23(6)：377..
5. DiazFeijoo B，GilMoreno A，Puig O，et al.Total laparoscopic radical trachelectomy with intraoperative sentinel node identification for early cervical stump cancer[J].J Minim Invasive Gynecol，2005，12(6)：522-524..
6. Lee YS，Lee TH，Koo TB，Cho YL，IlS Park.Laparoscopicassisted radical parametrectomy including pelvic and/or paraaortic lymphadenectomy in women after prior hysterectomythree cases[J].Gynecol Oncol，2003，91(3)：619-622..
7. LZ，XU H，CHEN Y，et al.Laparoscopic radical trachelectomy or parametrectomy and pelvic and paraaortic lymphadenectomy for cervical or vaginal stump carcinoma：report of six cases[J].Gynecol Cancer，2006，16：1713-1716..
8. 楊麗，杜建英.子宮次全切除術兩種不同術式預防宮頸殘端癌效果觀察[J].腫瘤防治雜志，2001，8(4)：447..

West China Medical Journal

Analysis in Surgical Treatment of 22 Cases Having Cervical Stump Carcinoma

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