CAJ | 학술논문

目的：探讨根治性宫颈切除术在早期宫颈癌治疗中的可行性及临床疗效。方法对2011年1月至2013年5月，11例Ⅰa1～Ⅰb1期宫颈癌患者，施行经阴道根治性宫颈切除术加腹腔镜下盆腔淋巴结切除术。观察其手术时间、出血量、术后并发症、术后生存及生育情况。结果宫颈根治术手术时间3.5～4.5h，平均（3.5±0.8）h，术中出血量200～400mL，平均（298±20）mL。术后1个月内恢复正常月经，术后无发生淋巴囊肿；术后平均随访至今，11例患者生存至今，其中1例成功受孕并生育。结论对Ⅰa1～Ⅰb1期年轻宫颈癌患者，行保留生育功能的手术是可行的。
목적：탐토근치성궁경절제술재조기궁경암치료중적가행성급림상료효。방법대2011년1월지2013년5월，11례Ⅰa1～Ⅰb1기궁경암환자，시행경음도근치성궁경절제술가복강경하분강림파결절제술。관찰기수술시간、출혈량、술후병발증、술후생존급생육정황。결과궁경근치술수술시간3.5～4.5h，평균（3.5±0.8）h，술중출혈량200～400mL，평균（298±20）mL。술후1개월내회복정상월경，술후무발생림파낭종；술후평균수방지금，11례환자생존지금，기중1례성공수잉병생육。결론대Ⅰa1～Ⅰb1기년경궁경암환자，행보류생육공능적수술시가행적。
Objective To explore the feasibility and clinical efficacy of radical trachelectomy in early cervical cancer. Methods From Jan. 2011 to May 2013, 11 patients with la1-lb1 cervical cancer were underwent RVT and La Paroseopic Pelvic Lymphadenectomy. We Observe the duration of operations, bleeding volume, postoperative complications, and postoperative living and fertility circumstances.Results Duration of radical trachelectomy is 3.5~4.5 h, on an average of (3.5±0.8)h. Bleeding volume during operation is 200~400 ml, on an average of (298±20)ml. Menstrual status goes back to normal in a month after operation. No lymphocyst after operation and al 11 patients survived til now and one of them successfuly conceived and labored.Conclusion The fertility-sparing surgery is feasible for la1~lb1 young patients with cervical cancer.