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作者于1966.1-1978,12月在美国海军医院共收治宫内膜癌201例,其中Ⅰ期161例。这161例中中有91例行术前全盆外照射,55例单独手术治疗,15例由于手术标本发现肌层侵犯而行术后外照射。术前照射采用下肤15×15 cm前后对穿野,每日180～200拉德,每周5次,总剂量平均在3585拉德。大部份病人在照射后短期内行手术。91例中有60%是在照射后1周内手术的,80%是在照射后2周内手术的。治疗结果:治疗后5年期间,死于病变者14例,其中Ⅰ期者有4例。这一结果作者认为优于文献中所报告的其他方法。
The authors treated 201 cases of endometrial cancer in the U.S. Naval Hospital from January 1966 to December 1978, of which 161 cases were stage Ⅰ. Of the 161 patients, 91 had preoperation external pelvic surgery, 55 had surgery alone, and 15 had postoperative external exposure due to muscle invasion found in the surgical specimens. Preoperative irradiation with the next skin before and after 15 × 15 cm on the wild, daily 180 to 200 rad, 5 times a week, the total dose of an average of 3585 rad. Most patients underwent surgery shortly after irradiation. Sixty percent of 91 cases were operated within 1 week after irradiation and 80% were operated within 2 weeks after irradiation. Treatment outcome: 5 years after treatment, died of disease in 14 cases, of which stage Ⅰ in 4 cases. The authors of this result consider it superior to the other methods reported in the literature.