复发性子宫颈癌的治疗(附110例临床分析)

THE TREATMENT OF RECURRENT CARCINOMA OF UTERINE CERVIX -A CLINICAL ANALYSIS OF 110 CASES

本文总结了1964～1982年本院110例复发性宫颈癌的再次治疗情况。中心复发(指宫颈,宫体及阴道上段)者61例,周围复发(指盆腔或盆壁)19例,中心并周围复发15例,远处转移15例。再次治疗时采用放射治疗者83例,手术治疗11例,化疗16例。再治后总的三年绝对生存率45.5％,五年绝对生存率41.4％。着重讨论了依据首治方式,复发部位及范围,病者体质诸方面选择再治方法的原则。并提出对仅适宜行化疗的病例,应首先考虑采用动脉插管化疗。

The treatment of 110 cases of recurrent carcinoma of uterine cervix from 1964 to 1982 in our hospital was reviewed. The recurrentsites included: (1) central pelvic recurrence-cervix, uterus, upper vagina ormedial half of parametrium- 61 cases, (2) perripheral pelvic recurrence -lateral half of parametrium, lower vagina or lateral pelvic wall- 19 cases, (3) both central and perripheral pelvic recurrences in 15 cases, and C4> distant spread in 15 cases. As retreatment, irradiation was given in 83 cases, surgery in 11 cases and chemotherapy in 16 cases, among which the intraarterial infusion was used in 14 cases. The 3-year absolute survival rate of whole series after retreatment was45.5%, and 5-year, 41.4% . The indications of various retreating methods were discussed in detail. It is suggested that the intraarterial infusion should be considered first if chemotherapy is the only treatment of choice.