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淋巴转移是宫颈癌转移的重要途径。传统的子宫根治术因术中易损伤宫颈支持韧带内走行的盆腔自主神经,常引起较多的术后并发症,严重影响患者的生活质量。为避免术中损伤盆腔自主神经,目前多主张对早期宫颈癌施行保留盆底自主神经的子宫根治术,但这一术式在保留盆腔自主神经时是否会遗留一些宫旁淋巴结,进而影响其预后仍不十分明确。综述盆腔淋巴结及宫旁淋巴结的分布特点及其临床意义,为早期宫颈癌手术治疗方式的选择提供参考。
Lymphatic metastasis is an important way of cervical cancer metastasis. Traditional radical hysterectomy because of intraoperative cervical supportive ligament injury prone to run through the pelvic autonomic nerve often cause more postoperative complications, seriously affecting the quality of life of patients. In order to avoid intraoperative injury of pelvic autonomic nerve, the current advocate of early cervical cancer reserved for pelvic autonomic nerve radical hysterectomy, but this surgery in the preservation of the pelvic autonomic nerve left some of the palace next to lymph nodes, and thus affect its prognosis Still not very clear. To summarize the distribution and clinical significance of pelvic lymph node and parathyroid lymph node, and to provide reference for the selection of surgical treatment for early cervical cancer.