妊娠合并宫颈癌10例临床分析.PDFVIP

doi:10.3969/j.issn.1003-6350.2014.19.1148 ·临床经验· 妊娠合并宫颈癌10例临床分析 洪 澜，贺国丽，杨舒盈 (海南省人民医院妇科，海南 海口 570311) 【摘要】 目的 总结妊娠合并宫颈癌的临床特点及诊治经验。方法 回顾性分析2002 年1月至2012 年1 月海南省人民医院10例妊娠合并宫颈癌患者的临床特征、诊治情况及预后，并结合文献复习。结果 10例患者 中8 例妊娠期诊断合并宫颈癌，2 例产后诊断；临床症状表现为接触性阴道出血及不规则阴道出血；9 例直接行广 泛性子宫切除术+双侧输卵管切除术+盆腔淋巴结清扫术，术中出血量400~800 ml ，1例引产后行放疗；Ⅰb 期4 例，Ⅱb 期2 例，Ⅱa 期4 例，病理类型均为鳞癌。结论 首次产检阴道筛查对于及时检出妊娠合并宫颈癌非常重 要，Ⅱb 期以下患者及时选择合理的治疗方式可获得较好的效果。 【关键词】 妊娠；宫颈癌；筛查；治疗 【中图分类号】R714.259 【文献标识码】A 【文章编号】 1003—6350（2014 ）19—2917—03 Aclinicalanalysisof10casesofcervicalcancercomplicat pregnancy. HONGLan,HEGuo-li,YANGShu-ying. DepartmentofGynecology,PeoplesHospitalofHainanProvince,Haikou570311,Hainan,CHINA 【Abstract】 Objective To investigate the clinical characteristics and experiences in diagnosis and treatment of cervical cancer complicating pregnancy. Methods Clinical characteristics, diagnosis, treatment and prognosis were analyzed in 10 cases of pregnant women with cervical cancer who admitted to Peoples Hospitalof during Janu- ary 2002 to January 2012 retrospectively, and the literatures were reviewed. Results Eight out of 10 cases were diag- nosed as pregnancy complicating cervical cancer, among which 2 cases were diagnosed postpartum. Clinical symp- toms were characterized as sexual contact vaginal bleeding and irregular vaginal bleeding. 9 cases received extensive hysterectomy and bilateral salpingectomy combined with pelvic lymph node cleaning operation with an intraoperative blood loss of 400~800 ml, and another 1 case accepted radiation therapy after induction of labor. 4 cases of Ⅰb stage, 2 cases of Ⅱb stage, and 4 ca