摘要
目的 :探讨二维超声在宫颈癌的诊断和放疗疗效观察中的价值。方法 :对宫颈癌治疗前进行超声诊断及分期 ,使用高剂量率近距离放疗治疗机进行腔内放疗与体外近距离放疗穿插进行。结果 :本组 36例均在病理诊断前超声提示宫颈癌 ,根据声像图表现分为 3期 ,Ⅰ期 5例 ,Ⅱ期 18例 ,Ⅲ期 13例。放疗后检查Ⅰ期 5例、Ⅱ期 18例、Ⅲ期 3例均达到临床治愈 ,Ⅲ期 6例宫颈接近正常大小 ,盆腔淋巴结消失 ,Ⅲ期 4例因累及其它器官效果不明显。结论 :①二维超声诊断宫颈癌准确性高 ,操作简便 ,重复性好 ;②了解确定宫颈大小 ,局部扩展和远处转移情况等有其独特的优越性 ;③判定192 铱放疗效果 ,方法简便、准确。
Objective:To investigate the effect of ultrasonography on the diagnosis for uterus cervical cancers(UCC) and on the judgement of radiotheraphic effectiveness for UCC.Methods:UCC were diagnosed and classified by ultrasonography before radiotherapy and then the high energy radiotherapy equipment was used for close range radiotherapy with intracavitary and externally radiation in alternation.Results:36 UCC were proved and classified by ultrasonography as stage Ⅰ,5 cases;stage Ⅱ,18 cases and stage Ⅲ,13 cases.After radiotherapy,ultrasonography showed 26 cases(5 cases of stage Ⅰ,18 cases of stage Ⅱ and 3 cases of stage Ⅲ)reached clinical cure,other 6 stage Ⅲ UCC recovered normal size closely and another 4 stage Ⅲ UCC hadn′t obvious effect because they had been infiltrated into other organs.Conclusion:Ultrasonography has high accuracy,simple operation and good duplication in the diagnosis of UCC.It is especially useful in the observation of the size of uterus cervix,local infiltration and distant site metastasis,and it is also an accurate and simple method on the judgement of radiotheraphic effectiveness of 192 iridium.It has an important role for guiding the dosage of radiotherapy.
出处
《西北国防医学杂志》
CAS
2000年第2期139-140,共2页
Medical Journal of National Defending Forces in Northwest China
关键词
子宫颈癌
B超
放射疗法
铱192
Uterus cervical carcinoma(UCC)
^(192) iridium
Radiotherapy
Ultrasonic diagnosis
