摘要
[目的]对中晚期子宫颈癌综合治疗的疗效进行观察。[方法]106例中晚期子宫颈癌病人 ,分为两组 ,一组78例 ,采用腹壁下动脉插管区域化疗2～3个疗程后 ,行广泛或次广泛子宫切除 ,二组28例 ,在区域化疗的同时加192铱腔内放射治疗 ,然后行手术治疗。[结果]一组病人的5年存活率高于国内报道 ;区域化疗对淋巴结转移有治疗作用 ;二组病人的疗效明显高于一组。[结论]采用腹壁下动脉插管行区域性化疗结合腔内放疗再行手术治疗是治疗中晚期子宫颈癌较好的治疗方法 ,腹壁下动脉插管化疗具有技术条件低、费用低、方法简单等优点 。
To investigate the effect of combination treatment for advanced carcinoma of uterine cervix.One hundred and six patients with advanced carcinoma of uterine cervix were divided into two groups.Group A (78 cases) received chemotherapy by inferior epigastric artery intubations for 2 or 3 treatment courses,followed by radical hysterectomy.Group B (28 cases) underwent regional perfusion chemotherapy combined with intracavitary 192Ir radiation therapy,followed by surgery.Five year survival rate in group A was higher than that reported in our country.Regional perfusion chemotherapy had a therapeutic effect on metastases of lymph nodes.The therapeutic effect in group B was significantly better than that in group A.[Conclusions]It is a better therapeutic method for advanced carcinoma of uterine cervix with regional perfusion chemotherapy combined with intracavity radiation therapy followed by radical hysterectomy.Chemotherapy by inferior epigastric artery intubations has the advantages of simple procedure and lower medical cost, and is suitable for local hospitals.
出处
《肿瘤学杂志》
CAS
2002年第4期203-205,共3页
Journal of Chinese Oncology
关键词
综合治疗
宫颈癌
临床分析
淋巴结转移
cervical neoplasms
lymph metastases
artery intubation
drug therapy
radiotherapy
surgery
