宫颈癌42例临床分析

Clinical analysis of 42 cases of cervical carcinoma

目的探讨不同分期宫颈癌的治疗方式。方法回顾分析该院2000年1月至2005年12月收治的宫颈癌42例,对其治疗方式进行临床分析。结果6例原位癌行全子宫加双侧附件切除术。Ⅰb～Ⅱa共26例,其中15例选择单纯性宫颈癌根治术;6例放疗后再行宫颈癌根治术;7例行根治术后追加化疗。Ⅱb～Ⅳ共10例行放疗加化疗。结论对不同分期的宫颈癌应采用不同治疗方式,治疗方式的选择对于患者术后生存质量具有重要的影响,综合治疗可提高患者生存期。

Objective To discuss the treatment of cervical cancer in different stages. Methods The treatment of 42 cases of cervical cancer in this hospital from January 2000 to December 2005 was analysed, and clinical treatment modalities were analysed too. Results （ 1 ）A total of 6 cases of uterine carcinoma in situ received hysterecomy plus bilateral salpingo-oophorectomy. （2）A total of 26 cases was in Ⅰ b- Ⅱ a stage, of which 15 cases with cervical cancer were treated with a simple radical hysterectomy;6 cases of cervical cancer were radiotherapied after radical hysterectomy;7 cases of cervical cancer received radical hysterectomy plus radiotherapy. （3）A total of 10 Ⅱ b- Ⅳ stage cases selected radiotherapy and chemotherapy. Conclusion Different treatment should be applied in different stages of cervical cancer,and the choice for treatment is important for patients＇ quality of life after treatment. Comprehensive treatment can improve the survival of patients with cervical carcinoma.