宫颈癌术前介入治疗的临床意义

目的 探讨巨块型及中晚期宫颈癌术前介入治疗的临床意义.方法 47例巨块型及中晚期宫颈癌,采用1～2次介入治疗后,根据疗效进行后续治疗,并随访其近远期疗效及复发率.结果 经介入治疗后,47例中完全缓解（CR）率 36.2%（17/44）,部分缓解（PR）率51.1%（24/44）;介入治疗后行宫颈癌根治术31例,手术切除率70%;治疗结束后随访44例,失访3例,随访率93.6%;局部复发率9.1%（4/44）,远处转移率6.8%（3/44）.结论 介入治疗能提高巨块型及中晚期宫颈癌的手术切除率,减少术后补充放疗,减少复发率,提高手术治疗效果.

The Clinical Effect of Preoperative Interventional Therapy on Cervical Cancer

Objective To explore clinical effect of preoperative interventional therapy on bulky or medium-term and terminal cervical cancer.Methods [WT5B1]47 patients with bulky or medium-term and terminal cervical cancer were treated with one or two courses of interventional chemotherapy,then treated with operation or radiotherapy based on the curative effect of interventional chemotherapy.The long-term effect and recurrence rate were observed.Results In 47 patients,17 cases recovered completely;24 cases recovered partly;31 cases operated,the operational rate was 70%;47 cases were followed-up after interventional therapy and 3 cases missed,the follow-up rate was 93.6%;The local recurrence rate was 9.1%(4 cases) and metastasis rate was 6.8%(3 cases).Conclusion Interventional therapy could improve the operational rate of bulky or medium-term and terminal cervical cancer;could reduce the radiotherapy after operation;also could reduce the recurrence rate.