子宫颈癌根治性放疗后再手术32例临床分析

Clinical analysis of 32 cases with cervical cancer received operation after radical radiotherapy

对 3 2例宫颈癌患者放疗后再手术的临床资料进行回顾性分析。在体外照射剂量为 5 0～ 5 5Gy ,腔内治疗剂量为 5 0Gy/ 10周 ,放疗结束后 2～ 4周给予手术 ,手术方式为全子宫加双附件切除 2 2例 ,次广泛子宫切除术 8例 ,广泛性子宫切除术 2例 ,盆腔淋巴结清除 6例 ,选择性盆腔淋巴结活检 10例。结果显示 ,术后病理未发现癌残留者 2 8例 ,有癌残留者 4例 ,宫旁切缘无 1例查见癌 ,各组淋巴结均未查到癌转移及未见癌残留 ;其 3、5年生存率分别为94 4% ( 17/ 18)、71 4% ( 10 / 14 )。

The clinical data of 32 cases received operation after radical radiotherapy were analyzed retrospectively. The tumor dose of external irradiation and brachytherapy were 50～55 Gy and 50 Gy/10weeks, respectively. 2 to 4 weeks after radiotherapy, all the patients received operation. 22 cases received total hysterectomy and Salpingo-oophorectomy, 8 cases received subradical hysterectomy, while 2cases received radical hysterectomy. Among all cases, 10 patients were treated with selective pelvic lymphadenectomy and 6 patients were treated with extensive pelvic lymphadenectomy. Results the pathological results revealed that there was no tumor remnant in 28 patients, no case had positive lymph node and all the incisal edges were negative. The three-year and five-year survival rate was 94.4% (17/18) and 71.4% (10/14), respectively.