摘要
目的 :观察子宫颈深间质侵犯对子宫颈癌预后的影响及辅助腔内放射治疗的作用。方法 :分析4 4 9例盆腔淋巴结阴性的ⅠB、ⅡA期子宫颈癌的治疗结果 ,观察子宫颈深间质侵犯对生存率影响及腔内放射治疗的作用。结果 :子宫颈深间质侵犯者的 5年生存率及ⅠB、ⅡA期患者的生存率的分别为 86 1%、90 2 %和 84 6% ,均较无宫颈深间质侵犯者低。子宫颈深间质侵犯辅助腔内放射治疗者的 5年生存率为89 8% ,ⅠB 7/ 9,ⅡA 92 0 % ,较单纯手术者高。结论 :子宫颈深间质侵犯是子宫颈癌重要的预后因素 ,这些患者术后应辅助治疗。高剂量率后装腔内放疗操作简便 ,副反应少 。
Objective To observe the affects of deep stromal invasion of uterine cervix on the prognosis of cervical carcinoma and the effects of adjuvant brachytherapy.Methods To analysis the results of the 449 cases with stage ⅠB and ⅡA cervical carcinoma with negative pelvic lymph nodes.To observe the affect of deep stromal invasion of uterine cervix on survival rates and evaluate the effect of adjuvant brachytherapy.Results The 5 year survival for the cases with deep stromal invasion of uterine cervix and that for stage ⅠB and ⅡA patients were 86.1%,90 2% and 84 6%,respectively.They were all lower than that of the patients without deep stromal invasion of uterine cervix.The 5 year survival for the cases with deep stromal invasion of uterine cervix and that for stage ⅠB and ⅡA patients treated by adjuvant brachytherapy were 89 8%,7/9 and 92 0%,respectively.They were higher than that in the controls.Conclusions Deep stromal invasion of uterine cervix is an critical prognostic factor for cervical carcinoma.This kind of patients should be treated by adjuvant treatments.High dose rate afterloading brachytherapy is simple and effective with lower side effects.It's a selection for the patients with ce vical carcinoma with deep stromal invasion of uterine cervix.
出处
《肿瘤防治杂志》
2001年第6期645-647,共3页
China Journal of Cancer Prevention and Treatment
关键词
宫颈肿瘤
外科学
放射疗法
预后
cervix neoplasms/surgery
cervix neoplasms/radiotherapy
prognosis
