CAJ | 학술논문

目的：探讨化疗在宫颈癌治疗中的应用及疗效。方法：对大理医学院附属医院2004年1月至2010年11月宫颈癌患者Ⅰa～Ⅱb期（Ⅰa～Ⅱb）27例进行回顾性分析。结果：5例宫颈癌Ⅱb期（Ⅱb）术前新辅助化疗后均获部分缓解,并成功行广泛性全子宫切除术＋盆腔淋巴结清扫术。余22例行广泛性全子宫切除术＋盆腔淋巴结清扫术的同时行双侧髂内动脉灌注化疗。27例患者中除1例失访外,随访时间4个月～6年,平均随访时间25个月,除1例复发外,余均无复发及转移,为无瘤生存状态。结论：化疗治疗可作为宫颈癌术前、术中及术后的辅助治疗。
목적：탐토화료재궁경암치료중적응용급료효。방법：대대리의학원부속의원2004년1월지2010년11월궁경암환자Ⅰa～Ⅱb기（Ⅰa～Ⅱb）27례진행회고성분석。결과：5례궁경암Ⅱb기（Ⅱb）술전신보조화료후균획부분완해,병성공행엄범성전자궁절제술＋분강림파결청소술。여22례행엄범성전자궁절제술＋분강림파결청소술적동시행쌍측가내동맥관주화료。27례환자중제1례실방외,수방시간4개월～6년,평균수방시간25개월,제1례복발외,여균무복발급전이,위무류생존상태。결론：화료치료가작위궁경암술전、술중급술후적보조치료。
Objective： To explore the effects of chemotherapy in the treatment of early cervical carcinoma.Methods： Clinical datums from 27 cases of early cervical carcinoma（Stage Ia～IIb） from January 2004 to November 2010 in Gynaecology and Obstetrics Department of Affiliated Hospital of Dali University were conduct retrospective analysis.Results： Five cases in stage II b were partial remission under chemotherapy management before operation,then,extensive radical hysterectomy with pelvic lymphadenectomy were all successfully performed.Extensive radical hysterectomy with pelvic lymphadenectomy plus internal iliac arterial infusion chemotherapy was successfully performed in the rest 22 cases.All patients were followed up for 4 to 72 months with an average of 25 months except one lost,no recurrence and transfer were observed.Conclusion： Chemotherapy,a good adjuvant therapy of early cervical carcinoma,can be applied to preoperative,intraoperative or postoperative.