早期宫颈癌保留生育功能的研究进展

近年来宫颈癌的发病呈年轻化趋势,随着女性婚育年龄推后及国家生育政策的放开,使得有生育需求的子宫颈癌患者比例增加。如何在治疗肿瘤的同时,保留患者生育功能,提高生活质量,已成为妇科肿瘤医师共同努力的目标及研究热点之一。宫颈广泛切除术(radical trachelectomy,RT)的应用及发展使得年轻有生育要求的早期宫颈癌患者获得了生育的希望。通过回顾近年来相关文献,对早期子宫颈癌患者保留生育功能的适应证、手术方式以及治疗后的肿瘤结局与妊娠结局进行综述。

Research Progress of Fertility-Sparing for Early-Stage Cervical Cancer

Many cases of cervical cancer are diagnosed in young woman who wish to preserve their fertility.As more and more women are delaying childbearing,and childbearing policy has been newly regulated in China,fertility preservation has become an important consideration in those patients with cervical cancer.It is an objective of gynecological oncology doctors,and a research hotspot,how to preserve fertility and improve living quality while treat their cancer.Radical trachelectomy (RT) can provide more fertile chance for those young patients with the cervical cancer at early stage.By reviewing literatures,we mainly discussed the selection criteria for fertility-sparing surgery,the specific surgery approach,and the oncological and pregnancy outcomes after fertility-sparing surgery.