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进展型宫颈癌术前介入治疗的意义

Significance of preoperative interventional therapy on the treatment of progressive cervical cancer

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【作者】 吴大保彭程孙敏文凌斌张雪芬

【Author】 WU Dabao,PENG Cheng,SUN Minwen,LIN Bing,ZHANG Xufen(Department of Obstetrics&Gynecology,AnHui Provincial Hospital,Hefei 230001,china)

【机构】 安徽省立医院妇产科安徽省立医院妇产科 合肥230001合肥230001合肥230001

【摘要】 目的探讨进展型宫颈癌术前介入治疗的意义。方法51例进展型宫颈癌,术前采用1~2次子宫动脉插管化疗加栓塞后行宫颈癌根治手术,随访近远期疗效及复发率。结果51例经介入治疗后完全有效,其中术后病灶完全缓解(CR)32例,CR率62.7%;部分缓解19例(PR),PR率27.3%。术后随访46例,失访5例,随访率90.4%;局部复发4例,局部复发率8.9%,远处转移6例,远处转移率13.3%。结论进展型宫颈癌术前辅助介入治疗能减少复发率,提高手术治疗的效果。

【Abstract】 Objective To explore the significance of preoperative interventional therapy on progressive cervical cancer.Methods 51 patients with progressive cervical cancer were treated with transcatheter uterine arterial chemoembolization for 1-2 times before radical uteroectomy.The long-term effect and recurrence rate were observed.Results 51 cases had extremly good efficacy.32 cases were completely recovered,CR rate was 62.7%,19 cases were partly recoverd,PR rate was 27.3%.46 cases attended follow-up after interventional therapy and 5 cases missed,the follow-up rate was 90.4%.The local recurrence rate was 8.9%(4 cases) and metastasis rate was 13.3%(6 cases).Conclusions Patients with progressive cervical cancer treated by preoperative interventional therapy could reduce the recurrence rate and improve the effect of the surgery.

  • 【分类号】R737.33
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