CAJ | 학술논문

手术治疗是子宫内膜癌的主要治疗方式，通过手术治疗可以明确诊断、病理分级、临床分期，并为术后的辅助治疗提供充分的临床资料。对于子宫内膜癌患者是否常规进行淋巴结切除仍存在较大争议，特别是对于低危的子宫内膜癌患者而言，因为低危患者淋巴结转移发生率非常低，且不影响患者的预后，但目前没有全面的划分淋巴结转移危险因素及其危险程度的统一标准。本文就子宫内膜癌的淋巴结转移特点，影响淋巴结转移的因素，淋巴结切除的并发症，淋巴结切除术对预后的影响，淋巴结切除的临床意义及淋巴结切除的发展方向等方面加以综述，我们认为对于内膜癌患者应选择个体化的治疗方案，注重术前的全面评估，对于G3，透明细胞，浸润肌层≥1/2，病灶﹥2cm，宫颈受累等应进行包括腹主动脉旁淋巴结在内的系统淋巴结切除术。
수술치료시자궁내막암적주요치료방식，통과수술치료가이명학진단、병리분급、림상분기，병위술후적보조치료제공충분적림상자료。대우자궁내막암환자시부상규진행림파결절제잉존재교대쟁의，특별시대우저위적자궁내막암환자이언，인위저위환자림파결전이발생솔비상저，차불영향환자적예후，단목전몰유전면적화분림파결전이위험인소급기위험정도적통일표준。본문취자궁내막암적림파결전이특점，영향림파결전이적인소，림파결절제적병발증，림파결절제술대예후적영향，림파결절제적림상의의급림파결절제적발전방향등방면가이종술，아문인위대우내막암환자응선택개체화적치료방안，주중술전적전면평고，대우G3，투명세포，침윤기층≥1/2，병조﹥2cm，궁경수루등응진행포괄복주동맥방림파결재내적계통림파결절제술。
Surgical treatment is the main treatment of endometrial cancer,surgical treatment can confirm diagnosis, pathological classification,clinical stage,and to provide sufficient clinical data of postoperative adjuvant therapy. For endometrial cancer patients there are still considerable controversy whether conventional underwent lymph node resec-tion,especially for patients with low risk of endometrial cancer,because the incidence of lymph node metastasis is very low,and do not affect the prognosis. But there is no comprehensive division of the degree of risk factor of lymphatic metastasis. In this paper,the characteristics of the lymphatic metastasis of endometrial carcinoma,the factors influen-cing lymph node metastases,the complications of lymph node excision,and the prognosis of lymph node resection,the influence of the clinical significance of lymph node removal and the development tendency of lymph node excision are reviewed. We believe in endometrial carcinoma patients we should choose individualized treatment plan,pay attention to the comprehensive preoperative evaluation,for G3 ,clear cell,infiltrating muscular≥1/2,or lesions ﹥ 2cm,cervi-cal involvement should carry on the system,including the para-aortic lymph nodes resection.