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[国内外宫颈癌IB-IIA期根治性子宫切除术及淋巴结清扫术领域的经验]

[Our and foreign experience in the field of radical hysterectomy and lymph node dissection in the treatment of cervical cancer stage IB-IIA].

作者信息

Ivanov S

出版信息

Akush Ginekol (Sofiia). 2007;46(1):38-40.

Abstract

AIM

Our aim was to summarise our and foreign experience in the treatment of cervical cancer stage IB-IIA with Radical hysterectomy and lymph node dissection.

MATERIAL AND METHODS

260 patients were examined for the period of 2000-2006 and all of them were stage IB-IIA cervical cancers.

RESULTS

According to our experience the preffered method of treatment of cervical cancer stage IB-IIA was the radical hysterectomy with or without chemotherapy. In patients with "bulky" lymph nodes, they are resected and the patients become patients with micrometastases. The postoperative radiotherapy with "small field" of radiation has very good results.

CONCLUSIONS

The 3 years survival in these patients treated with surgery, adjuvant chemotherapy plus radiotherapy is between 80-90%.

摘要

目的

我们的目的是总结我们自己以及国外在采用根治性子宫切除术和淋巴结清扫术治疗宫颈癌IB-IIA期方面的经验。

材料与方法

在2000年至2006年期间对260例患者进行了检查,所有患者均为宫颈癌IB-IIA期。

结果

根据我们的经验,治疗宫颈癌IB-IIA期的首选方法是进行根治性子宫切除术,可辅以或不辅以化疗。对于有“肿大”淋巴结的患者,将淋巴结切除,这些患者就变成了有微转移的患者。采用“小照射野”的术后放疗效果非常好。

结论

接受手术、辅助化疗加放疗治疗的这些患者的3年生存率在80%至90%之间。

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