宫颈癌放疗后复发862例临床分析  

RECURRENCE OF CERVICAL CANCER AFTER RADIOTHERAPY:ANALYSIS OF 862 CASES

作　　者：胡烈民[1] 张晓春[1] 程序瑞[1] 田禾[1] 韩金声 李长征[1] 

机构地区：[1]山东省肿瘤防治研究院,济南250117 [2]山东铝厂职工医院

出　　处：《中华放射肿瘤学杂志》1995年第2期40-41,82,共3页Chinese Journal of Radiation Oncology

摘　　要：宫颈癌 5 4 5 3例 ,其中复发 86 2例 ,再治疗 35 3例。通过对临床资料的回顾性分析 ,探讨了与复发有关的因素和治疗方法 ,资料显示放疗后复发率为 1 5 . 81 % ,复发与临床期别有关 (P <0 .0 0 1 ) ,结节型高于其它类型 (P <0 .0 0 1 ) ,复发发生在放疗后 2年内者占 6 1 . 2 % ,治疗采用放疗和 /或化疗。治疗组中位生存期为 1 1 .5月 ,未治疗组为 5个月 ,差异有显著意义。 (P <0 .0 5 )。5453 patients with cervical cancer in stageⅠ～Ⅳ had been treated in our hospital from January 1971 to December 1989. Of them,862 cases developed recurrence. The recurrence rate was 15.81% patients with more advanced cancers had higher recurrence rate (P<0.001). The recurrence rate of nodular-infiltrative cancer was higher than that of exophytic and ulcerative types (P<0.001). 61.20% of the recurrence occurred within 2 years after radiotherapy. 353 patients with recurrence after radiotherapy were retreated by radiotherapy and/or chemotherapy. The median survival was 11.5 months for patients who received retreatment and 5 months for who did not receive retreatment (P<0.05).

关 键 词：宫颈肿瘤 放疗 复发 

分 类 号：R737.33[医药卫生—肿瘤]