进展型宫颈癌术前介入治疗的意义

目的探讨进展型宫颈癌术前介入治疗的意义。方法51例进展型宫颈癌,术前采用1～2次子宫动脉插管化疗加栓塞后行宫颈癌根治手术,随访近远期疗效及复发率。结果51例经介入治疗后完全有效,其中术后病灶完全缓解(CR)32例,CR率62.7%;部分缓解19例(PR),PR率27.3%。术后随访46例,失访5例,随访率90.4%;局部复发4例,局部复发率8.9%,远处转移6例,远处转移率13.3%。结论进展型宫颈癌术前辅助介入治疗能减少复发率,提高手术治疗的效果。

Significance of preoperative interventional therapy on the treatment of progressive cervical cancer

Objective To explore the significance of preoperative interventional therapy on progressive cervical cancer.Methods 51 patients with progressive cervical cancer were treated with transcatheter uterine arterial chemoembolization for 1-2 times before radical uteroectomy.The long-term effect and recurrence rate were observed.Results 51 cases had extremly good efficacy.32 cases were completely recovered,CR rate was 62.7%,19 cases were partly recoverd,PR rate was 27.3%.46 cases attended follow-up after interventional therapy and 5 cases missed,the follow-up rate was 90.4%.The local recurrence rate was 8.9%(4 cases) and metastasis rate was 13.3%(6 cases).Conclusions Patients with progressive cervical cancer treated by preoperative interventional therapy could reduce the recurrence rate and improve the effect of the surgery.