CAJ | 학술논문

宫颈癌发病年轻化趋势明显，使有生育需求的早期宫颈癌患者数量明显增加。目前，早期宫颈癌保留生育功能的手术治疗可简单分为广泛性宫颈切除术（经阴、经腹、经腹腔镜、机器人手术完成）和保守性手术（宫颈锥切、单纯性宫颈切除）。早期宫颈癌患者行保留生育功能手术具有严格适应证。对于合适的患者，广泛性宫颈切除能获得与广泛性全子宫切除或全量放量相媲美的肿瘤预后和妊娠结局。创伤更小的腹腔镜手术以及机器人手术是未来发展的重点，其肿瘤预后及妊娠结局还有待于进一步临床研究。保守性手术可以减少因广泛性宫旁切除引起的并发症，而且可以得到理想的肿瘤预后及妊娠结局。此外，前哨淋巴结活检对盆腹腔淋巴结切除术具有重要的指导意义。
궁경암발병년경화추세명현，사유생육수구적조기궁경암환자수량명현증가。목전，조기궁경암보류생육공능적수술치료가간단분위엄범성궁경절제술（경음、경복、경복강경、궤기인수술완성）화보수성수술（궁경추절、단순성궁경절제）。조기궁경암환자행보류생육공능수술구유엄격괄응증。대우합괄적환자，엄범성궁경절제능획득여엄범성전자궁절제혹전량방량상비미적종류예후화임신결국。창상경소적복강경수술이급궤기인수술시미래발전적중점，기종류예후급임신결국환유대우진일보림상연구。보수성수술가이감소인엄범성궁방절제인기적병발증，이차가이득도이상적종류예후급임신결국。차외，전초림파결활검대분복강림파결절제술구유중요적지도의의。
In recent decades, the number of early cervical cancer patients who desire to sparing fertility function is growing, which due to the morbidity has the youth oriented tendency. At present, there are two kinds of surgical treatment of early cervical cancer to retain reproductive function: radical trachelectomy (vaginal radical trachelectomy, abdominal radical trachelectomy, laparoscopic radical trachelectomy/robotic radical trachelectomy) and less radical trachelectomy (cervical conization, simple trachelectomy). Indications of preserve fertility for early cervical cancer patients are very strict. Radical trachelectomy can receive comparable tumor outcome and pregnancy outcome to those of radical hysterectomy or radical radiotherapy for the selecting patients. So far, laparoscopic radical trachelectomy and robotic radical trachelectomy are the focus of development, because they result in the smaller trauma. Because of minor specimen and shortage of long term observation, the further research is needed to do. Less radical trachelectomy can reduce complications come from parametrium resection, and obtain ideal tumor outcomes and pregnancy outcome as soon as choosing the right patients. In addition, sentinel lymph node biopsy has the vital guiding function for lymphadenectomy.