Tuyển tập các báo cáo nghiên cứu khoa học ngành y học tạp chí Medical Sciences dành cho các bạn sinh viên ngành y tham khảo đề tài: Changes of uterine blood flow after vaginal radical trachelectomy (VRT) in patients with early-stage uterine invasive cervical cancer. | Int. J. Med. Sci. 2010 7 260 International Journal of Medical Sciences 2010 7 5 260-266 Ivyspring International Publisher. All rights reserved Research Paper Changes of uterine blood flow after vaginal radical trachelectomy VRT in patients with early-stage uterine invasive cervical cancer Kota Umemura1 Shin-ichi Ishioka1 H Toshiaki Endo1 Tsuyoshi Baba1 Yoshiaki Ezaka1 Kunihiko Naga-sawa1 Madoka Takahashi1 Masahito Mizuuchi1 Nanako Iwami1 Hidefumi Adachi1 Noriko Takeda1 Mit-suharu Tamagawa2 Tsuyoshi Saito1 1. Department of Obstetrics and Gynecology Sapporo Medical University Sapporo Hokkaido Japan 2. Department of Radiology Sapporo Medical University Sapporo Hokkaido Japan H Corresponding author Shin-ichi Ishioka Department of Obstetrics and Gynecology Sapporo Medical University. Mi-nami 1-jo Nishi 16-chome Chuo-ku Sapporo Hokkaido Japan 064-8543. Tel. 81-11-611-2111 ext. 3373 Fax 81-11-563-0860 e-mail ishioka@ Received Accepted Published Abstract Background. Vaginal radical trachectomy RT ligates and cuts several arteries supplying the uterus. Changes of blood supply to the uterus in two patients who experienced pregnancy and delivery were studied by using 3-D CT scanning. Effects of changes of blood supply to the uterus on the pregnancy courses were also examined. Methods. Vascular distribution in the uterus was studied in two patients who received vaginal RT after delivery. Effects of changes of vascular distribution after vaginal RT were studied with respect to pregnancy courses and cervical functions. Results. New arterial vascularization from the ascending branches of uterine arteries or other arteries occurred and these new vessels seemed to supply blood to the remaining cervix. Differences of fetal growth and histopathological changes in the placenta between the two patients could not be detected. Conclusion. Ligation and cutting of several supplying arteries by RT induces new areterial vascularization and it does
