髂内动脉栓塞化疗100例宫颈癌手术中应用  

Internal Iliac Artery Chemoembolization in Radical Surgery for The Treatment of 100 Cases with Cervical Carcinoma

作　　者：王凌 朱向华 孔平[2] 

机构地区：[1]临沂市肿瘤医院,山东临沂276001 [2]临沂市人民医院,山东临沂276001

出　　处：《肿瘤学杂志》2004年第2期82-84,共3页Journal of Chinese Oncology

摘　　要：[目的]总结宫颈癌根治术中髂内动脉栓塞化疗的作用。[方法]150例宫颈癌患者随机分组,研究组100例(术中栓塞化疗),对照组50例(术中未栓塞化疗),分析两组3、5、7年生存率、病理类型、术中淋巴转移、切缘阳性与生存率、复发转移率的关系。[结果]研究组3、5、7年生存率分别为99%、94%、87%,对照组为94%、75%、58%。两组比较3年生存率无明显差异(P>0.05),5、7年生存率有显著差异(P<0.05)。研究组3、5、7年复发率分别为0、5%、11%,对照组3、5、7年复发率分别为16%、24%、30%,两组比较3、5、7年复发转移率均有显著差异(P<0.05)。[结论]宫颈癌手术中进行髂内动脉栓塞化疗,可明显提高生存率,降低局部复发与转移。To investigate the role of internal iliac artery chemoemblization(IIAC)in radical surgery for cervical carcinoma.One hundred and fifty cases with cervical carcinoma undergoing radical surgery were randomized divided into two groups.Group A with IIAC(100cases);Group B with-out IIAC(50cases).The patients'age,clinical stage,size of tumor,pathological type,lymph node,sur-gical margin and survival were analysed.The3-,5-,7-year survival rates were99%,94%,87%in group A and94%,75%,58%in group B,respectively,without significant difference in3-year survival rate(P>0.05),but with significant difference in5-,7-year survival rate(P>0.05).The3-,5-,7-year recurrent rates were0,5%,11%in group A vs16%,24%,30%in group B,respectively with signifi-cant difference(P>0.05).[Conclusions]IIAC in radical surgery can improve survival rate and reduce the local recurrence in patients with cervical carcinoma.

关 键 词：髂内动脉 栓塞疗法 宫颈肿瘤 外科学 

分 类 号：R737.33[医药卫生—肿瘤] R815[医药卫生—临床医学]