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对全子宫加双侧附件切除或术前后补加放疗的118例宫颈癌(临床Ⅰ期71例、Ⅱ期47例)的疗效进行总结。结果,单纯手术组(27例)5及10年生存率为8机及63%,补加放疗组(91例)为76%及60%,组间比较P皆>0.05。与本院175例宫颈癌根治术相比,5及10年生存率在Ⅰ期差别有显著性(P<0.01),在Ⅱ期差别无显著性(P>0.05)。放疗在术前或术后对生存无影响(P>0.05)。从本组有限的病例看,建议原位癌早期浸润应按0期癌对待只行全宫切除术,其它Ⅰ期癌应行根治术,Ⅱ期癌可行非根治手术并补加放疗。
The curative effect of 118 cases of cervical cancer (71 cases in stage Ⅰ and 47 cases in stage Ⅱ) of resection of uterus plus bilateral accessory surgery or preoperative and postoperative radiotherapy were summarized. Results The 5-year and 10-year survival rates were 8% in the surgery group and 63% in the surgery alone group, and 76% and 60% in the radiotherapy group (91 patients), respectively. Compared with the radical mastectomy of 175 cases of cervical cancer in our hospital, the 5-year and 10-year survival rates were significantly different in the first stage (P <0.01) and in the second stage (P> 0.05). Radiotherapy had no effect on survival either preoperatively or postoperatively (P> 0.05). From this group of limited cases, it is recommended that the early invasion of carcinoma in situ should be treated with 0 stage cancer only hysterectomy, other stage Ⅰ cancer should be radical surgery, Ⅱ stage cancer can be non-radical surgery and additional radiotherapy.