Management of pregnancy after radical trachelectomy

被引：17

作者：

Kasuga, Yoshifumi ^{[1
]}

Ikenoue, Satoru ^{[1
]}

Tanaka, Mamoru ^{[1
]}

Ochiai, Daigo ^{[1
]}

机构：

[1] Keio Univ, Dept Obstet & Gynecol, Sch Med, Tokyo, Japan

来源：

GYNECOLOGIC ONCOLOGY | 2021年 / 162卷 / 01期

关键词：

Cervical Cancer; Trachelectomy; Pregnancy; Miscarriage; Ultrasound; Cesarean section; STAGE CERVICAL-CANCER; FERTILITY-PRESERVING OPTION; OBSTETRIC OUTCOMES; ABDOMINAL TRACHELECTOMY; VAGINAL TRACHELECTOMY; PRETERM BIRTH; MISSED MISCARRIAGE; RISK-FACTORS; CARCINOMA; CERCLAGE;

D O I：

10.1016/j.ygyno.2021.04.023

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Radical trachelectomy (RT) is a surgery for early-stage cervical cancer treatment that preserves the childbearing ability, and its use has become increasingly common worldwide. Thus, the rate of conception in women who have undergone RT is increasing. However, pregnancy after RT is associated with a higher risk of several obstetric complications such as preterm delivery, preterm premature membrane rupture, and abnormal bleeding from varices at the site of uterovaginal anastomosis. Furthermore, since RT have a residual prophylactic cerclage, it is difficult to manage first-and second-trimester miscarriages. There is little previous data on the management of pregnancy after RT. In this review article, we summarize various management methods and experiences to provide a guide to clinicians for perinatal management after RT. (c) 2021 Published by Elsevier Inc.

引用

页码：220 / 225

页数：6

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