放化疗联合手术综合治疗Ⅱb期宫颈癌的效果分析

Effect analysis of combined treatment of chemotherapy, radiotherapy and surgery to treatⅡb cervical cancer

目的评价放化疗＋手术综合治疗Ⅱb期宫颈癌的远期疗效。方法选择2003年5月-2008年4月本院收治的Ⅱb期宫颈鳞癌患者56例，所有患者均进行术前放化疗＋宫颈癌根治术＋术后放化疗，分析该治疗方法的远期疗效及并发症的情况。结果宫颈癌根治术后泌尿系并发症未增加，3年生存率为80．36％，5年生存率为66．04％。结论放化疗＋手术综合治疗Ⅱb期宫颈癌可以提高患者的生存率，改善预后，值得推广。

Objective To assess the long-term efficacy of combined treatment of chemotherapy,radiotherapy and surgery to treat IT b stage of cervical cancer. Methods 56 patients with Ⅱb stage of cervical squamous celt carcinoma underwent preoperative chemotherapy and radiotherapy ＋radical hysterectomy ＋postoperative radiotherapy and chemotherapy in our hospital from May 2003 to April 2008 were selected to analyze the treatment＇s long-term efficacy and the complications. Results Urinary complications after radical resection of cervical cancer did not increase.3-year survival rate was 80.36% and 5-year survival rate was 66.04%. Conclusion The combined treatment of radiotherapy, chemotherapy and surgery can effectively raise Ⅱb stage cervical cancer patients＇ survival rate and improve the prognosis.It is worthy of application.