非根治术加放疗治疗86例Ⅱb期宫颈癌

Combination therapy of non - radical operation and radiation on 86 cases of Ⅱ b cervical carcinoma

目的:探讨非根治性手术加放疗配合治疗Ⅱb期宫颈癌的疗效及并发症。方法:回顾性分析了本科自1989年10月至1995年10月收治的Ⅱb期宫颈癌患者86例,经放疗-非根治术-放疗的模式治疗。结果:5年生存率75.6％。近期放疗反应轻微,远期放疗并发症:放射性膀胱炎1例,发生率1.16％。放射性直肠炎5例,发生率5.81％。无膀胱阴道瘘及直肠阻道瘘发生。结论:非根治性手术加放疗治疗Ⅱb期宫颈癌临床上取得了较好的效果和较低的并发症,且手术难度小,便于普及,值得推广使用。

Objective:To investigate the curative effects and complications of cervical carcinoma in stage Ⅱ b with the therapeutic stratages of non-radical operation associated with radiation. Methods: Reviewing 86 patients from October 1989 to October 1995, treated with radiotherapy- non- radical operation- radiotherepy model. Results: The 5- year survial rate was 75.6%. In the near future the radiation deuterpathy rate was low. In long- term complication, one radiation cystitis patient was found with the incidence rate 1.16%, five radioaction proctitis patients were found with the incidence rate 5.81% . No vesicovaginal fistula and recto -vaginal fistula was found. Conclusions: The therapy of non-radical operation associated with radiation in cervical carcinoma Ⅱ b stage results in better effects and lower complications, together with easier operation. It is well worthy of being recommended.