中晚期宫颈癌介入治疗后手术回顾分析

Analysis on treatment of mid and late stage cervical cancer pre-surgery

  • 摘要: 目的:分析中晚期宫颈癌患者术前行髂内动脉或子宫动脉介入化疗及栓塞治疗后对手术结局的影响。方法:24例宫颈浸润癌,临床分期ⅡA期肿块直径大于4 cm、ⅡB期,髂内动脉介入治疗后行宫颈癌根治术,对介入后瘤体缩小,手术并发症及术后情况进行回顾性分析。结果:瘤体明显缩小,宫旁及阴道切缘无癌细胞,手术并发症低。结论:ⅡA期肿块直径大于4 cm、ⅡB期的宫颈癌介入治疗后手术,虽然盆腔组织黏连率高,但并未明显增加手术风险,且为中晚期的宫颈癌创造手术条件。

     

    Abstract: Objective:To analyze treatment to mid and late stage cervical cancer patient by pre-treatment of inner-iliac artery or the uterina artery chemotherapies and its effect to surgery.Methods: 24 samples of cervical cancer,selected by stage Ⅱ A and tumor sizes were bigger than 4cm together with stage Ⅱ B,had surgery and decrease of tumor sizes by chemotherapy,and operation complications and patients conditions post-operation were studied.Results:Tumor sizes reducesd obviously,the cervical and vagina edges had no tumor cells;the surgery complications were lower.Conclusion:stage Ⅱ A tumor size is bigger than 4cm,stage Ⅱ B cervical cancer could have surgery after chemotherapy,although the pelvic cavity organs conglutination rate is high,but surgery risk is not obvious increase,and pre-chemotherapies creates surgery condition for mid and late stage cervical cancer.

     

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