女性盆腔淋巴结的分布特点及其临床意义

淋巴转移是宫颈癌转移的重要途径。传统的子宫根治术因术中易损伤宫颈支持韧带内走行的盆腔自主神经,常引起较多的术后并发症,严重影响患者的生活质量。为避免术中损伤盆腔自主神经,目前多主张对早期宫颈癌施行保留盆底自主神经的子宫根治术,但这一术式在保留盆腔自主神经时是否会遗留一些宫旁淋巴结,进而影响其预后仍不十分明确。综述盆腔淋巴结及宫旁淋巴结的分布特点及其临床意义,为早期宫颈癌手术治疗方式的选择提供参考。

The Distributional Characteristic and Clinical Significance of Female Pelvic Lymph Nodes

Lymphatic spread is an important metastatic pathway for cervical cancer.The classic radical hysterectomy could cause a high rate of long-term postoperative complications which were the results of surgical injury involving the pelvic autonomic nerves within the supporting ligaments of the cervix uteri.These complications seriously influenced the quality of life for the survivors.To avoid those complications,systematic nerve sparing radical hysterectomy(SNSRH)was proposed to treat early-stage cervical cancer currently.But whether SNSRH would remain some parametrial lymph nodes,which may influence the prognosis,was unclear.This article was to review the distributional characteristic and clinical significance of femal pelvic lymph nodes and parametrial lymph nodes,which could offer a surgical choice basis for early-stage cervical cancer patients.