摘要
目的:探讨对中晚期宫颈癌行子宫动脉灌注化疗栓塞治疗,联合宫腔后装及盆腔外照射放疗的综合治疗价值。方法对52例 IIb期及以上分期宫颈癌经介入治疗、宫腔后装放疗和(或)盆腔外照射的综合治疗结果进行回顾性分析。结果经综合治疗后所有病例临床分期均不同程度前移,IIIa期及以下分期病例完全达到手术根治标准而行根治,手术切除率达96%。结论 IIb期以上临床分期的宫颈癌经联合治疗后,在严格控制手术适应症的前提下,手术根治几率明显提高,患者无瘤生存期得到延长。
Objective:To discuss value of bsynthesized treatment of advanced cervix patients which proceeded transartery perfusion chemo-embolization,combined with external beam radiotherphy and inteacavitary brachytherapy.Methods:Toanalyzed retrospectively trerapeutic outcome of 52stageⅡb~Ⅳcarcinoma of cervix patients which proceeded trans-artery perfusion chemo-embolization,combined with external beam radioitherapy and inteacavitary brachytherapy.Results:Clinical stage ofsynthesiaed treatment of advanced carcinoma of cervix cases had preacted,96 percent of stageⅡb~Ⅲtreated patients could proceeded radical hysterectomy.Conclusion:After synthesized treatment stageⅡb~Ⅳcarcinoma of cervix patients,on the promise of strict control their adaptation diseace\,the radical hysterectomy was raised obviously,and prolonged redical hysterectomy in patient's life.
作者
李鹤
李子雄
段宁波
LI He;LI Zi-xiong;DUAN Ning-bo(Yunnan Chuxiong People's Hospital Radiation Oncology Department,Chuxiong 675000,China)
关键词
宫颈癌
介入栓塞
后装
外照射
手术根治
Cervical cancer
Embolization
After loading
External irradiation
Radical surgery