全盆腔器官联合切除治疗晚期局部宫颈癌4例临床分析

TOTAL PELVIC EXENTERATION IN TREATING FOUR CASES OF LATE LOCAL CERVICAL CARCINOMA

目的探讨全盆腔器官联合切除治疗晚期局部宫颈癌的临床价值。方法对1997年4月至2001年4月我院实施全盆腔器官联合切除的4例晚期局部宫颈癌患者病例资料进行分析。结果4例患者手术进展顺利,手术时间为6～9h,平均7.5h;手术中出血量为300～2000ml,平均775ml;术后生存时间为4～41个月,平均16.3个月。4例患者分别死于肠梗阻、小肠阴道残端瘘、绝食、盆腔痛疼绝食和肺转移。结论对同时侵及膀胱和直肠的晚期宫颈癌施行全盆腔器官联合切除可延长患者生存期,提高生存质量。但需严格掌握手术指征,规范手术步骤。

Objective To explore the total pelvic exenteration in treating late local cervical carcinoma. Methods Clinical analyses of the total pelvic exenteration in treating 4 cases of late local cervical carcinoma from April, 1997 to April, 2001 were made. Results The operations were performed successfully. The operation time was between 6 to 9 hours, averaging 7.5 hours. The bleeding volume ranged from 300 to 2000ml, averaging 775ml. The survival time was between 4 to 41 months, averaging 16.3 months. The 4 cases died of intestinal obstructions, enteric-vaginal fistula fasting, pelvic pain fasting and pulmonary cancerometastasis respectively. Conclusion Total pelvic exenteration can effectively prolong the survival time and promote the survival quality provided that operational indications are well studied and operational processes are standardized.