宫颈癌术后局部复发的预防与治疗

Prevention and treatment for local recurrence of cervical cancer after operation.

目的 探讨宫颈癌根治术后局部复发因素、预防措施及疗效。方法 1986年6月-1998年6月,对102例宫颈癌术后复发者,根据复发部位及病情选择放疗、化疗,介入及手术治疗,分析复发因素及预防措施。结果放疗后1、2、3、5 a生存率分别为81.3％、68.8％、43.7％、31.2％;放疗+化疗分别为80.6％、66.7％、38.9％、25.0％。以手术为主+放、化疗分别为64.7％、41.2％、20.6％、5.9％。结论综合治疗是宫颈癌术后复发有效的治疗方法。

[ Objective ] To explore the factors of local recurrence, preventing method and curative effect after radical hysterectomy. [Methods] From June of 1986 to June of 1988, 102 cases of cervical cancer patients who appeared local recurrence after operation were reviewed. Radiotherapy, Chemotherapy and interventional-therapy were applied for these patients. The factors of recurrence and preventive measures were analyzed. [Results] In the radiotherapy group, the survival rates in 1、2、3、5 years were 81.3% 、68.8% 、43.7% 、31.2% , in the radiotherapy combined with chemotherapy group, the survival rates were 80.6%、66.7%、38.9%、25.0%, respectively. Meanwhile、 in the operation group, combined with radiotherapy and chemotherapy, the survival rate was 64.7%、41.2%、20.6%、5.9% respectively. [Conclusion] Compound treatments have a better effect for the recurrence of cervical cancer after operation.