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妊娠期宫颈癌的诊治进展

发布时间:2018-07-17 18:17
【摘要】:随着规范产前检查的不断开展,宫颈细胞学检查的逐渐推广,越来越多的宫颈癌和宫颈病变在妊娠期被发现,目前研究表明:宫颈癌的"三阶梯"诊断方法同样适用于妊娠期宫颈癌的诊断,且临床分期与非妊娠期宫颈癌相同。目前对妊娠期宫颈癌的治疗尚无统一标准,手术方式、时机、化疗药物的选择、剂量和疗程以及分娩方式尚需进一步研究。对于ⅠA期、ⅠB1期及肿瘤直径≤2 cm、ⅠB1期及肿瘤直径2 cm以及更高分期的患者,可采取个体化的治疗方案。临床医师需在充分评估患者情况后,尽量保护患者和胎儿的利益,争取达到控制疾病、保障患者及其生育能力并尽量保留胎儿的治疗目的。
[Abstract]:With the continuous development of standard antenatal examination and the gradual popularization of cervical cytology, more and more cervical cancer and cervical lesions are discovered during pregnancy. Current studies show that the "three-step" diagnostic method for cervical cancer is also applicable to the diagnosis of cervical cancer in pregnancy, and its clinical staging is the same as that in non-pregnancy cervical cancer. At present, there is no uniform standard for the treatment of cervical cancer complicating pregnancy. The operation method, timing, choice of chemotherapy drugs, dosage and course of treatment, and delivery mode need further study. For patients with stage 鈪,

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