摘要
对Ａ组３０例宫颈癌患者行宫颈癌根治术与髂内动脉化疗同步，术中不输血或输血＜４００ｍｌ，对４５岁以下患者保留一侧卵巢，术后淋巴病理检查阳性未加放疗。随访５年无复发。对Ｂ组３０例宫颈癌患者行宫颈癌根治术，部分病例术前腔内放疗，５年内７例复发，３例死亡。Ａ、Ｂ两组复发率和５年生存率经统计学处理Ｐ值均＜０．０５，有显著差异。同时讨论保护和恢复性机能的意义以及术中输血对预后的不良影响。
From January 1988 to January 1990,60 patients with stage Ib or IIa cervical carcinoma were treated. They were divided equally into two groups.In group A,the patients were treated with radical hysterectomy followed promptly by intrailiac artery perfusion chemotherapy with either no or less than 400ml of blood transfusion,and one ovary was preserved if the patients were younger than 45yrs of age.No radiotherapy was given after surgery.All patients were followed up for 5years with no recurrence.In group B,the patients were treated with radical hysterectomy in associationwith preoperative intracavitary radiotherapy in some of the cases.7 cases recurred and 3 died within a period of 5 years.It is concluded that the recurrence rate and 5-year survival rate were much better in group A (P<0. 05).The significance of preserving sexual function and the side effects of blood infusion during operation were discussed as well.
出处
《中国肿瘤临床》
CAS
CSCD
北大核心
1996年第6期423-426,共4页
Chinese Journal of Clinical Oncology
