摘要
1984～1987年有124例Ⅱ、Ⅲ期宫颈癌行腔内加温合并外照射治疗,以远期生存率和治疗并发症与本科行传统放疗的116例宫颈癌进行比较。124例中Ⅱ期99例,Ⅲ期23例、残端癌2例。腔内加温用915MHz微波治疗机,本组5年生存率Ⅱ期为65,3％,Ⅲ期为56.5％;行传统放疗的分别为54.2％和33.3％。治疗并发症以放射性肠炎进行对比,本组轻和中度肠炎为19.4％,无瘘及溃疡发生。传统放疗组肠炎发生率为38.8％,且5.2％发生了直肠阴道瘘。
From 1984 to 1987 , 124 patients with advanced uterine cervix cancer were treated by intracavitary hyperthermia combined with irradiation (HT + RT). All patients were followed for 5- year or more. In order to asses the efficacy of this modality, survival rates and complication were compared with 16 patients who received radiotherapy (RT) only during 1983-1984 . Of the 124 patients, 99 cases had stage Ⅱ, 23 stage Ⅲ, 2 stump cancer. Intracavitary heating was introduce with a 915 MHz machine with two kinds of applicators for special cervix cancer thermometry. The 5- year survival rates were 65. 3% (stage Ⅱ), 56. 5% (stage Ⅲ) in the HT+RT group and 54. 6% and. 33. 3% in the RT group. The complication rate of radiation proctitis was lower and milder in the HT+RT group (19. 8% V. S. 38. 8%). No patient developed fistula or ulceration in the HT+RT group. The authors believe that the result of uterine cervix cancer is improved by HT+RT through elevation of 5- year survival rate and reduction of complication rate.
出处
《中华放射肿瘤学杂志》
CSCD
1993年第2期30-31,66,共3页
Chinese Journal of Radiation Oncology
