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回顾性复习经手术治疗的子宫颈浸润癌124例,包括鳞癌28例、腺癌30例、腺鳞癌3例及未分化癌2例。其中18例术前期别估计低于术后(14.5%)。Ⅰ期和Ⅱ期病例均有不同比例的宫体和盆腔淋巴结转移,但无1例卵巢转移。有17例60岁或以上患者接受广泛性子宫切除及盆腔淋巴结清扫术,未见手术并发症显著升高。提示:术前准确估计期别是影响手术治疗的重要因素,对包括腺癌的Ib期病例手术时可予保留卵巢,老年妇女并非为根治术的绝对禁忌证。
Retrospective review of 124 cases of surgical treatment of cervical invasive carcinoma, including 28 cases of squamous cell carcinoma, 30 cases of adenocarcinoma, 3 cases of adenosquamous carcinoma and 2 cases of undifferentiated carcinoma. Among them, 18 cases were estimated before operation (14.5%). Stage Ⅰ and Ⅱ cases have different proportions of the Palace and pelvic lymph node metastasis, but no case of ovarian metastasis. There are 17 cases of 60-year-old or above patients underwent radical hysterectomy and pelvic lymph node dissection, no significant increase in surgical complications. Tip: preoperative accurate estimate of the impact of surgery are not an important factor in surgery, including adenocarcinoma of Ib cases can be retained during surgery ovaries, elderly women is not an absolute contraindication for radical surgery.