体外加腔内照射与单纯外照射治疗宫颈癌的远期疗效观察

Long-term results of cervical carcinoma with ~(192)Ir afterload intracavitacy radiating combined with external irradiation and external irradiation alone

摘要: 目的分析体外加腔内照射（Ａ组）与单纯外照射（Ｂ组）治疗宫颈癌的远期疗效。方法　外照射加１９２Ｉｒ高剂量率后装腔内放疗治疗宫颈癌４５例，并与同期单纯外照射宫颈癌４５例进行比较。结果　Ⅱ期Ａ组和Ｂ组５年生存率分别为９０％　和６３．６％（Ｐ＜０．０５），局部复发率分别为２０％和５０％（Ｐ＜０．０５）；Ⅲ期Ａ组和Ｂ组５年生存率分别为６８％　和４３．５　％　（Ｐ＜０．０５），局部复发率分别为２８％　和６５．２％（Ｐ＜０．０１）。鳞癌和腺癌的５年生存率分别为６７．９％和３３．３％（Ｐ＜０．０５）。结论宫颈癌的５年生存率及局部控制率体外加腔内放射治疗明显优于单纯外照射，鳞癌优于腺癌。

Abstract: Objective To observe the effect for cervical carcinoma stageⅡand stageⅢwith external irradiation Combined with192Ir afterload intracavitacy radiating (A group) and external irradiation alone(B group) . Methods Form July 1988 to July 1995,treament results were compared between 45 stageⅡand 45 stageⅢwho received external irradiation combined with 92Ir afterload intracavitacy radiating and external irradiation alone in our department. Results The five survival rates for stageⅡand stageⅢwith A group and B group w...