摘要
目的 探讨宫颈癌手术治疗的疗效及临床意义。 方法 随访分析49例宫颈癌手术治疗的患者，其中ⅠA～ⅡA期44例（89.8%），ⅡB～ⅢA期5例（10.2%）。广泛性子宫切除术及盆腔淋巴结清扫术39例，次广泛子宫切除术9例（1例盆腔淋巴结清扫术），全子宫切除术1例。结果 总的5年生存率为93.6%，其中ⅠA、ⅠB、ⅡA、ⅡB期的5年生存率分别为100%、96.2%、87.5%、75.0%，ⅢA期1例手术后生存5年以上。 结论 手术治疗是治疗早期宫颈癌最有效的方法，而对于中、晚期难以手术的年轻患者采用术前化疗或放疗使原来无法手术的患者有手术的可能，从而提高生存率。
Objective To study the curative effect of 49 c ases of cervical cancer after operation and its clinic significance. Methods The following-up results of 49 cases of cervical cancer after op eration were analyzed, in which 44 cases (89.8%) in stage ⅠA～ⅡA, 5 cases (10.2%) in stage ⅡB～ⅢA. 39 cases were performed radical hysterectomy and the surgical rem oval of lymph nodes in pelvic cavity. 9 cases were performed subradical hysterec tomy (1 case with surgical removal of lymph nodes in pelvic cavity). 1 case was performed hysterectomy. Results The general survival rate of 5 y ears in this group was 93.6%, and in which in stage ⅠA, ⅠB, ⅡA, ⅡB was 100%, 96.2%, 87.5%, 75.0% respectively. 1 case in stage Ⅲ A existed over 5 years. Conclusion The operative treatment of cervical cancer is the most effective therapy. They can be operated after being treated by chemi cal and radioactive treatment. Their survival rate can be enhanced for the young patients with advanced cervical cancer which is difficult for operation.
出处
《安徽医科大学学报》
CAS
2001年第5期367-369,共3页
Acta Universitatis Medicinalis Anhui
关键词
宫颈肿瘤
随访研究
存活率
外科手术
cervix neoplasms/surgery
follow-up studies
survival rate
