宫颈癌术前子宫动脉化疗栓塞治疗的临床疗效观察

目的探讨术前子宫动脉化疗栓塞在宫颈癌治疗方面的临床价值.方法对12例宫颈癌患者在手术前行子宫动脉化疗栓塞,观察症状缓解的程度、疗效和近期不良反应.化疗栓塞后3～4周行子宫根治术及盆腔淋巴结清扫术.结果宫颈癌患者临床症状明显缓解,近期疗效观察有效10例,无效2例,各期次疗效没有显著差别.不良反应经对症处理后均缓解.2例Ⅱ期根治手术后阴道切除缘癌细胞阳性,3例ⅠB期清扫下的淋巴结中发现转移.结论宫颈癌术前子宫动脉化疗栓塞是治疗宫颈癌安全有效的的治疗宫颈癌安方法,值得临床进一步推广使用.

Clinical Observation About Preoperative Uterus Arterial Chemoembolization for Uervical Uancer

Objective To study the clinical value of preoperative uterus arterial chemoembolization in the treatment of patients with cervical carcinoma.Methods 12 patients with cervical carcinoma were treated by preoperative uterus arterial chemoembolization.The alleviating degree of symptoms,curative effect and adverse reactions in a short term were observed.Radical hysterectomy and pelvic lymphadenectomy were performed 3～4 weeks after chemoembolization.Results The symptoms were significantly alleviated.10 patients were effective and 2 patients was ineffective.The curative effect was resemble in all stages.All adverse reactions were alleviated after symptom treatment.2 patients in stageⅡwere found cacer in surgical margins and 3 patients in stageⅠB were found cancer in lymph node.Conclusion The preoperative uterus arterial chemoembolization is the most effective treatment for patients with cervical carcinoma,and should be recommended.