42例早中期宫颈残端癌综合治疗的疗效分析  

Clinical analysis of 42 cases of early and medium stage cervical stump cancer comprehensive treatment

作　　者：周敏[1,2] 袁渊 赵西侠 郑鹏生[1] 

机构地区：[1]西安交通大学医学院,陕西西安710061 [2]陕西省肿瘤医院妇瘤科,陕西西安710061

出　　处：《现代肿瘤医学》2014年第9期2169-2170,共2页Journal of Modern Oncology

摘　　要：目的:探讨宫颈残端癌的发病原因及处理方法。方法:回顾性分析2002年6月-2012年6月入住我院妇科的42例宫颈残端癌患者。分为手术组及同步放化疗组。随诊5年了解其生存率及并发症发生情况。结果:手术组5年生存率76.2%,放化疗组5年生存率42.9%,差异有统计学意义(P<0.05)。并发症主要为直肠阴道漏及严重放射性直肠炎,手术组明显低于放化疗组(P<0.05)。结论:手术治疗早中期宫颈残端癌疗效较好,能够提高患者生存率,不失为有效的治疗。Objective:To discuss the causes of 42 cases of cervical stump cancer and processing method.Meth-ods:To retrospectively analyze 42 cases of cervical stump carcinoma from June 2002 to June 2012.The 42 cases were divided into operation group and synchronous chemotherapy and radiotherapy group.We followed up for 5 years to get to the situation of the survival rate and complications .Results:5 years survival rate of the operation group was 76.2%,chemotherapy and radiotherapy group was 42.9%(P<0.05).The major complications of the treatment was rectovaginal fistula and severe radiation proctitis.The operation group was significantly lower than the chemotherapy and radiotherapy group(P<0.05).Conclusion:The method of operation treatment for early and medium stage cervi-cal stump cancer is better.It can increase the survival rate of the patients,and is effective.

关 键 词：宫颈残端癌 手术治疗 放化疗 

分 类 号：R737.33[医药卫生—肿瘤]