• 四川大學(xué)華西第二醫(yī)院婦產(chǎn)科，四川成都 610041;

目的:探討妊娠相關(guān)性宮頸癌的早期診斷、治療和預(yù)后。方法:結(jié)合文獻(xiàn)回顧分析我院2000年至2007年收治的13例妊娠相關(guān)性宮頸癌的診治經(jīng)過和預(yù)后。結(jié)果:妊娠相關(guān)性宮頸癌分化程度低，癌灶體積大，早期盆腔淋巴結(jié)轉(zhuǎn)移率高，產(chǎn)褥期宮頸癌預(yù)后差。結(jié)論:宮頸細(xì)胞學(xué)檢查應(yīng)列為首次產(chǎn)檢常規(guī)項目；妊娠期宮頸原位癌在密切隨診前提下可暫不予處理，待分娩后6~8周活檢確認(rèn)病變性質(zhì)后，再采取相應(yīng)治療措施；新輔助化療同樣可為晚期別的妊娠相關(guān)性宮頸癌爭取手術(shù)時機。

引用本文： 柴丹,鄭艾,張健,張云燕. 妊娠相關(guān)性宮頸癌13例臨床分析. 華西醫(yī)學(xué), 2009, 24(1): 108-110. doi: 復(fù)制

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2. Sood AK，Sorosky JI，Mayr N，et al.Cervical cancer diagnosed shortly after pregnancy:prognostic variables and delivery routes[J].Obstet Gynecol，2000，95（6 Pt 1）:832-838..
3. Centers for Disease Control and Prevention.Sexually Transmitted Diseases Treatment Guidelines，2002[J]. MMWR，2002，51:5..
4. 陳俊雅，楊慧峽，李克敏，等.妊娠合并宮頸病變的分析[J].中華圍產(chǎn)醫(yī)學(xué)雜志，2004，7（6）:337-338..
5. Economos D，Perez VN，Delke I，et al.Abnormal cervical cytology in pregnancy:A 17year experience[J].Obstet Gynecol，1993，81:915-918..
6. Nguyen C，Montz FJ，Bristow RE.Management of stage Ⅰ cervical cancer in pregnancy[J].Obstetr Gynecol Surv，2000，55（10）:633-643..
7. Ackermann S，Gehrsitz C，Mehlhorn G，et al.Management and course of histologically verified cervical.Carcinoma in situ during pregnancy[J].Acta Obstet Gynecol Scand，2006，85（9）:1134-1137..
8. Dargent D，Brun JL，Roy M，et al.Pregnancies following radical trachelectomyfor invasive cervical cancer[J].Gynecol Oncol，1994，52:105..
9. Roy M，Plante M.Pregnancies after radical vaginal trachelectomy for early stage cervical cancer[J].Am J Obstet Gynecol，1998，179:1491-1496.
10. Burnett AF.Radical trachelectomy with laparoscopic lymphadenectomy:review of oncologic and obstetrical out comes[J].Curr Opin Obstet Gynecol，2006，18(1):8-13..
11. Sood AK，Sorosky JI.Invasive cervical cancer complicated pregnancy.How to manage the dilemma[J].Obstet Gynecol Clin North Am，1998，25:343-352..
12. Nagell JR，Higgins RV.Clinical invasive carcinoma of cervix，malcolm coppleson[J].Gynecol Oncol，1992，46:664..
  1. 1. 張國楠.宮頸上皮內(nèi)瘤變的處理指南[J].實用婦產(chǎn)科雜志，2004，20（2）:72..
  2. 2. Sood AK，Sorosky JI，Mayr N，et al.Cervical cancer diagnosed shortly after pregnancy:prognostic variables and delivery routes[J].Obstet Gynecol，2000，95（6 Pt 1）:832-838..
  3. 3. Centers for Disease Control and Prevention.Sexually Transmitted Diseases Treatment Guidelines，2002[J]. MMWR，2002，51:5..
  4. 4. 陳俊雅，楊慧峽，李克敏，等.妊娠合并宮頸病變的分析[J].中華圍產(chǎn)醫(yī)學(xué)雜志，2004，7（6）:337-338..
  5. 5. Economos D，Perez VN，Delke I，et al.Abnormal cervical cytology in pregnancy:A 17year experience[J].Obstet Gynecol，1993，81:915-918..
  6. 6. Nguyen C，Montz FJ，Bristow RE.Management of stage Ⅰ cervical cancer in pregnancy[J].Obstetr Gynecol Surv，2000，55（10）:633-643..
  7. 7. Ackermann S，Gehrsitz C，Mehlhorn G，et al.Management and course of histologically verified cervical.Carcinoma in situ during pregnancy[J].Acta Obstet Gynecol Scand，2006，85（9）:1134-1137..
  8. 8. Dargent D，Brun JL，Roy M，et al.Pregnancies following radical trachelectomyfor invasive cervical cancer[J].Gynecol Oncol，1994，52:105..
  9. 9. Roy M，Plante M.Pregnancies after radical vaginal trachelectomy for early stage cervical cancer[J].Am J Obstet Gynecol，1998，179:1491-1496.
  10. 10. Burnett AF.Radical trachelectomy with laparoscopic lymphadenectomy:review of oncologic and obstetrical out comes[J].Curr Opin Obstet Gynecol，2006，18(1):8-13..
  11. 11. Sood AK，Sorosky JI.Invasive cervical cancer complicated pregnancy.How to manage the dilemma[J].Obstet Gynecol Clin North Am，1998，25:343-352..
  12. 12. Nagell JR，Higgins RV.Clinical invasive carcinoma of cervix，malcolm coppleson[J].Gynecol Oncol，1992，46:664..