Surgery and OncologySurgery and OncologyХирургия и онкология2949-5857Publishing House ABV Press52110.17650/2686-9594-2021-11-3-4-29-34LITERATURE REVIEWОБЗОР ЛИТЕРАТУРЫSurgical correction of fistulas in patients with cervical cancer after radiation therapyХирургические методы коррекции свищей при раке шейки матки после проведения лучевой терапииSaryevM.  N. СарыевМ. Н.
Russian Federation

Mukhammetsakhet Nurberdievich Saryev 

24 Kashirskoe Shosse, Moscow 115478

Мухамметсахет Нурбердиевич Сарыев  

115478 Москва, Каширское шоссе, 24

mishamoff@gmail.comNechushkinM.  I. НечушкинМ. И.
Russian Federation

24 Kashirskoe Shosse, Moscow 115478

115478 Москва, Каширское шоссе, 24

ValievR.   K.ВалиевР. К.
Russian Federation

86 Shosse Enthuziastov, Moscow 111123

111123 Москва, шоссе Энтузиастов, 86

NurberdyevM.  B. НурбердыевМ. Б.
Russian Federation

86 Shosse Enthuziastov, Moscow 111123

111123 Москва, шоссе Энтузиастов, 86

AlievV.   A.АлиевВ. А.
Russian Federation

24 Kashirskoe Shosse, Moscow 115478

115478 Москва, Каширское шоссе, 24

TizilovaE.  A. ТизиловаЕ. А.
Russian Federation

24 Kashirskoe Shosse, Moscow 115478

115478 Москва, Каширское шоссе, 24

N.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of RussiaФГБУ «Национальный медицинский исследовательский центр онкологии им. Н.Н. Блохина» Минздрава РоссииA.S. Loginov Moscow Clinical Scientific Center of the Moscow Healthcare DepartmentГБУЗ г. Москвы «Московский клинический научно-практический центр им. А.С. Логинова Департамента здравоохранения г. Москвы»15032022113-429341503202215032022Copyright ©; 2022, Saryev M.N., Nechushkin M.I., Valiev R.K., Nurberdyev M.B., Aliev V.A., Tizilova E.A.Copyright ©; 2022, Сарыев М.Н., Нечушкин М.И., Валиев Р.К., Нурбердыев М.Б., Алиев В.А., Тизилова Е.А.2022Saryev M.N., Nechushkin M.I., Valiev R.K., Nurberdyev M.B., Aliev V.A., Tizilova E.A.Сарыев М.Н., Нечушкин М.И., Валиев Р.К., Нурбердыев М.Б., Алиев В.А., Тизилова Е.А.https://creativecommons.org/licenses/by/4.0https://onco-surgery.info/jour/article/view/521

The aim of this study was to analyze currently available information on the risks of fistulas in patients with cervical cancer after radiation therapy and possible treatment options.This review includes data from Russian and foreign articles devoted to this problem. It covers the frequency of fistulas of after radiation therapy in cervical cancer patients, as well as some treatment methods.Attempts to change the approaches to radiation therapy for advanced cervical cancer were unsuccessful; therefore, patients with cervical cancer will be at high risk of developing fistulas in the next few years. Different treatments for fistulas demonstrate contradictory results and dictate the need for a tailored-approach in such cases. The development of new surgical methods for the correction of vesicovaginal and rectovaginal fistulas is still highly relevant.

Целью работы являлся анализ имеющейся информации о рисках формирования свищей у больных раком шейки матки после лучевой терапии, а также о возможных методах лечения.В обзор литературы включены работы англоязычных и отечественных авторов, посвященные этой теме. Рассмотрена актуальность проблемы формирования свищей после проведения лучевой терапии при раке шейки матки, освещены некоторые подходы к терапии данной патологии.Попытки изменить подходы к лучевой терапии при распространенных стадиях рака шейки матки оказались неудачными, в связи с чем риск формирования свищей у пациенток с РШМ будет высоким и в последующие годы. Применение различных методов в лечении свищей также показывает противоречивые результаты и диктует необходимость действовать индивидуально в каждой конкретной ситуации. И по-прежнему актуальна разработка новых хирургических методов коррекции везиковагинальных и ректовагинальных свищей.

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