【摘要】 目的探讨 35岁以下青年妇女宫颈癌放射治疗 (简称放疗 )疗效及影响预后的因素。方法回顾性总结分析 4 2例经放疗的青年妇女宫颈癌的临床特点及预后。结果本组青年妇女宫颈癌放疗后 5年生存率为5 7.1% (2 4 / 4 2 ) ,Ⅲ期和Ⅳ期患者 5年生存率低于Ⅱ期患者 (P <0 .0 5 ) ;肿瘤 >4cm者疗效低于≤ 4cm者 (P <0 .0 5 ) ;结节型和溃疡型 5年生存率低于菜花型 (P <0 .0 5 )。结论青年妇女宫颈癌 5年生存率较低 ,临床分期为Ⅲ期和Ⅳ期、宫颈局部肿瘤 >4cm者及结节型和溃疡型患者预后差更多还原

【Abstract】 ObjectiveTo study the clinical effect and prognosis of cervical carcinoma in young women treated by radiotherapy.MethodsClinical data of 42 young women with cervical carcinoma underwent radiotherapeutics were reviewed.ResultsThe overall 5 year surviral rate after radiotherapy for cervical carcinoma of the patients was 57.1 % (24/42).The 5 year survival rate of the patients with stage Ⅱ( 76.2 % )was higher than that with stage Ⅲ and Ⅳ( 38.1 % )(P< 0.05 ).The 5 year survival rates of the patients with tumour size ≤4 cm and >4 cm were 83.3 % and 46.7 % , respectively (P< 0.05 ).The 5 year survival rate of tubercle and ulcer type was lower than that of cauliflower type.ConclusionThe results suggest that cervical carcinoma of young women had a poor prognosis.Survival rate was greatly influenced by the clinical stages,tumour sizes and tumour types.更多还原