Kauppila A, Jouppila P
Strahlentherapie. 1975 Jan;149(1):21-8.
22 patients with corpus carcinoma were treated by intracavitary irradiation by the after-loading technique (Cathetron) during three sessions separated by one-week intervals. The weeks after radiotherapy, hysterectomy and bilateral salpingo-oophorectomy were performed. Changes in uterine size were observed during and after radiotherapy with the help of an uterine probe and by ultrasound-B-examination. The uterus was found to increase in size during radiotherapy. Measurement with the probe showed an average longitudinal increase of 1.2 cm, whereas ultrasonic examination revealed an increase in length by 1.7 cm and an anteroposterior distension of the fundus uteri by 0.9 cm. No technical difficulties were encountered during early surgery preceded by radiotherapy. Ehin, readily removable adhesions were found in six cases, and symptoms of irritation were seen in the rectal wall and in the peritoneum in one. No postoperative complications occurred in any of the patients.
22例子宫体癌患者采用后装技术（卡特隆）进行腔内照射，分三次进行，间隔一周。放疗后数周，进行子宫切除术和双侧输卵管卵巢切除术。在放疗期间及放疗后，借助子宫探针和B超检查观察子宫大小的变化。发现放疗期间子宫大小增加。用探针测量显示平均纵向增加1.2厘米，而超声检查显示长度增加1.7厘米，子宫底部前后径增宽0.9厘米。放疗后早期手术未遇到技术困难。6例发现有易于分离的粘连，1例直肠壁和腹膜出现刺激症状。所有患者均未发生术后并发症。
