术后放射治疗宫颈癌疗效分析

Effective analysis of cervical cancer in postoperative radiotherapy

摘要: 目的:探讨宫颈癌术后放射治疗疗效及影响预后因素。方法:327例宫颈癌患者术后接受放疗,Ⅰ期97例,Ⅱ期214例,Ⅲa期16例;鳞癌308例,腺癌16例,混合癌3例。总照射剂量40～50Gy。结果:总3、5、7年生存率分别为:Ⅰ期94%、71.7%和63.6%;Ⅱ期83.2%、60.6%和45.8%;Ⅲa期3年生存率60.0%,5年生存率0。结论:宫颈癌术后放疗是减少盆腔复发和远处转移、提高远期生存率的有效治疗方法。影响预后主要因素有临床分期、组织学类型、肿瘤大小和有否淋巴结转移。

Abstract: Objective: To analysis the clinical effect of cervical cancer treated by postoperative radiotherapy.Methods: There were 327 patients and stage Ⅰ for 97,Ⅱ for 214,Ⅲa for 16 and squamous cancer for 308 cases,adenocarcinoma 16 cases,adenosquamous carcinoma 3 cases.External irradiation was given 40-50 Gy in pelvis.Results: The total survival rate in 3、 5、 7 years were 94%、 75%and 63% for stage Ⅰ,83.2%、 64.5%and 45.8% for stage Ⅱ.There was only the 3-year survival for stage Ⅲa of 60.0%.Conclusion: The postoperative radiotherapy of cervical cancer is an effective method to increase the local control rate,lessen recurrence of pelvis and raise the long-term survival rate.The main factors affecting the survival are clinical stage,pathological types,tumor size and translating lymphoid.