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Ⅰb~Ⅱb期巨块型宫颈癌术前放疗33例 被引量:2

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摘要 目的:探讨Ⅰb~Ⅱb期巨块型宫颈癌术前体外照射、腔内放疗与单纯手术的临床疗效。方法:将99例组织学明确的Ⅰb~Ⅱb期宫颈癌患者随机分为A、B、C 3组。A组33例单纯手术治疗。B组体外放疗加手术治疗33例,放疗采用15mV-X线外照盆腔SAD技术DT30Gy/15F/3周,C组腔内放疗加手术33例,采用宫颈肿瘤腔内放疗DT30Gy/6F/3周。B、C组放疗结束后2~3周内行广泛全子宫切除术。结果:B、C组近期疗效无显著性差异。在手术时间、术中出血、3年内生存率方面B、C组优于A组(P<0.05),术后病理宫旁浸润、淋巴结转移、3年内盆腔复发率C组优于A、B组(P<0.05)。结论:体外照射和腔内放疗均能减小手术难度,提高生存率。
出处 《陕西医学杂志》 CAS 2012年第1期78-79,共2页 Shaanxi Medical Journal
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