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本文报道手术(子宫动脉尿管支保存法)治疗子宫颈癌142例。该组病例占同期收治的宫颈癌2115例的6.7％。临床分期:0期14例,Ia期9例,Ⅰb期66例,Ⅱa期6例,Ⅱb期47例。病理类型:鳞癌101例,腺癌24例(其中透明细胞型8例),鳞腺癌6例,原位癌10例,恶性腺瘤1例。本术式的特点是保留了子宫动脉尿管支,简化了操作过程,减少了膀胱麻痹等并发症.本组病例无手术死亡率,术后未发生输尿管阴道瘘。对随访资料采用寿命表法处理(14例0期病例未统计在内),五年生存率为89.98％±3.47％,其中Ⅰ期五年生存率为91.72％±4.05％,Ⅱ期五年生存率为87.45％±6.12％。
This article reports 142 cases of cervical cancer treated by surgery (preserved uterine artery catheterization). This group of patients accounted for 6.7% of cervical cancer in the same period admitted 6.7%. Clinical stage: stage 0 in 14 cases, stage Ia in 9 cases, stage Ib in 66 cases, stage IIa in 6 cases, stage IIb in 47 cases. Pathological types: squamous cell carcinoma in 101 cases, adenocarcinoma in 24 cases (of which 8 cases of clear cell type), 6 cases of adenocarcinoma, carcinoma in situ in 10 cases, 1 case of malignant adenoma. This procedure is characterized by the retention of the uterine artery catheter branch, simplifying the operation process and reduce the complications such as bladder paralysis.No operative mortality in this group of patients, no postoperative ureteroscopic fistula. The follow-up data were processed by life table method (14 cases of stage 0 cases were not included). The five-year survival rate was 89.98% ± 3.47%, of which the five-year survival rate was 91.72% ± 4.05% and the five-year survival rate The rate was 87.45% ± 6.12%.