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本文报导了从1963年1月至1977年10月间108例早期宫颈浸润癌(Ⅰ_B期)在美国加州大学施行广泛性子宫切除术及盆腔淋巴结切除术。病人选择标准:(1)按FIGO临床分期标准为Ⅰ_B期;(2)合适的受术者;(3)宫颈癌的直径≤3cm,有6例大于3cm。患者年龄在21～64岁。手术按Piver Rutledge和Smith所述的Ⅲ级广泛性子宫切除术及盆腔淋巴结切除术。取腹部脐旁正中切口,探查主动脉旁及盆腔淋巴结,对可疑的淋巴结切除作冰冻切片,如无可疑的淋巴结则行淋巴结切除术。剔除从髂总、髂外血管到股管外的
This article reports 108 cases of early invasive cervical cancer (stage Ⅰ_B) from January 1963 to October 1977 at the University of California, United States for performing extensive hysterectomy and pelvic lymphadenectomy. Patient selection criteria: (1) According to FIGO clinical staging criteria for stage Ⅰ_B; (2) the appropriate subject; (3) cervical cancer diameter ≤ 3cm, 6 cases were greater than 3cm. Patients aged 21 to 64 years old. Surgery was performed according to the stage III extensive hysterectomy and pelvic lymphadenectomy described by Piver Rutledge and Smith. Take the mid-umbilical incision on the abdomen, explore the aortic and pelvic lymph nodes, suspicious lymphadenectomy frozen section, such as no suspicion of lymph node dissection. Remove from the total iliac, external iliac vessels to the outside of the femoral