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[影响宫颈癌手术治疗效果的预后因素]

[Prognostic factors affecting the results of surgical treatment of cervical cancer].

作者信息

Lou H, Chen Y, Sun H

机构信息

Zhejiang Cancer Hospital, Hangzhou.

出版信息

Zhonghua Zhong Liu Za Zhi. 1996 Jan;18(1):64-6.

PMID:8732118
Abstract

From October, 1963 to December, 1992, 1,213 cases with cervical cancer were treated surgically in our hospital, among whom 922 cases, including 305 in stage 0, 123 in stage IA, 212 in stage IB, 265 in stage IIA, 17 in stage IIB, were operated before February, 1990. Among the 617 evaluable cases, excluding those in stage ), the five-year survival rates were 95.1% in stage IA, 91.0% in stage IB, 83.1% in stage IIA and 59.0% in stage IIB, respectively. The results showed that cervical tumour greater than 4 cm in diameter, invasion in muscular layers, lower degree of differentiation and pelvic lymph nodes metastasis would lead to worse therapeutic effects. The method of pelvic lymphadenectomy, pathological types, and ages of the patients, however, did not at all correlate with the survival rates of the patients. For those who have above-mentioned risk factors active adjuvant treatments are indicated.

摘要

1963年10月至1992年12月,我院共手术治疗宫颈癌患者1213例,其中1990年2月以前手术的有922例,包括0期305例、ⅠA期123例、ⅠB期212例、ⅡA期265例、ⅡB期17例。在617例可评估病例中(不包括0期病例),ⅠA期、ⅠB期、ⅡA期和ⅡB期的五年生存率分别为95.1%、91.0%、83.1%和59.0%。结果显示,直径大于4cm的宫颈肿瘤、肌层浸润、低分化程度以及盆腔淋巴结转移会导致治疗效果较差。然而,盆腔淋巴结清扫术的方式、病理类型以及患者年龄与患者生存率并无关联。对于具有上述危险因素的患者,应采取积极的辅助治疗。

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