[摘要] 宫颈癌是唯一一个目前还在使用临床分期的妇科恶性肿瘤，通过对宫颈癌分期制订过程的历史回顾，可以了解其一直存在的问题。对宫颈癌尝试手术病理分期的探索研究尤其是治疗前淋巴结状态的评价纳入分期体系是宫颈癌临床研究的热点及难点。治疗前淋巴结状态评价的方法包括更精确的影像学检查方法如PET-CT、MRI、CT等检查判断是否有转移，腹腔镜/开腹/Robert机器人的腹膜内/腹膜外盆腔淋巴结和腹主动脉旁淋巴结切除或活检，是目前研究的热点，为宫颈癌分期提供了新的更精确的方法。

    [关键词] 宫颈癌；分期；手术病理分期；准确性；预后

    [中图分类号] R737.33 [文献标识码] A [文章编号] 1673-7210(2017)08(c)-0046-04

    [Abstract] Cervical cancer staging-system is the first designed staging system for gynecological cancer and the only system has not been changed to surgical-pathological system. Through reviewing the designed history of cervical cancer can understand the persistent problems of the clinical staging system. Recently exploration of surgical-pathological system for cervical cancer is hot point. More accuracy imaging examination methods such as PET-CT ......