中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2015年
20期
44-46
,共3页
早期宫颈癌%子宫根治性切除%放疗
早期宮頸癌%子宮根治性切除%放療
조기궁경암%자궁근치성절제%방료
Cervical cancer in early stage%Radical hysterectomy%Radiotherapy
目的：探讨子宫根治性切除手术和放疗治疗早期宫颈癌的临床效果。方法选取早期宫颈癌患者166例，随机将其分为两组，各83例。A组采取子宫根治性切除手术；B组采取放疗。统计两组患者并发症的发生率；于治疗后1年采用宫颈癌患者生活质量量表评价两组患者的生活质量。结果 A组患者便秘、排尿困难、尿失禁、阴道干燥、性交困难以及潮红发生率分别为71.08%、40.96%、42.17%、36.14%、19.28%和31.33%，明显高于B组(24.10%、14.46%、25.30%、20.48%、8.43%、6.02%)；B组腹痛、腹泻、血便发生率分别为24.10%、44.58%、25.30%，明显高于A组(6.02%、7.23%、2.41%)。两组患者不同并发症的发生率比较差异均有统计学意义(P<0.01)。两组患者生活质量在躯体状况、社会状况、情感状况、功能状况以及其他状况方面得分差异均无统计学意义(P>0.05)。结论对早期宫颈癌患者进行治疗时，临床医生可以根据患者的年龄和期望制订个体化的方案，对于有生育需求的中青年患者更倾向于选择放疗；而对于已经没有生育要求的患者，通过手术治疗较好。
目的：探討子宮根治性切除手術和放療治療早期宮頸癌的臨床效果。方法選取早期宮頸癌患者166例，隨機將其分為兩組，各83例。A組採取子宮根治性切除手術；B組採取放療。統計兩組患者併髮癥的髮生率；于治療後1年採用宮頸癌患者生活質量量錶評價兩組患者的生活質量。結果 A組患者便祕、排尿睏難、尿失禁、陰道榦燥、性交睏難以及潮紅髮生率分彆為71.08%、40.96%、42.17%、36.14%、19.28%和31.33%，明顯高于B組(24.10%、14.46%、25.30%、20.48%、8.43%、6.02%)；B組腹痛、腹瀉、血便髮生率分彆為24.10%、44.58%、25.30%，明顯高于A組(6.02%、7.23%、2.41%)。兩組患者不同併髮癥的髮生率比較差異均有統計學意義(P<0.01)。兩組患者生活質量在軀體狀況、社會狀況、情感狀況、功能狀況以及其他狀況方麵得分差異均無統計學意義(P>0.05)。結論對早期宮頸癌患者進行治療時，臨床醫生可以根據患者的年齡和期望製訂箇體化的方案，對于有生育需求的中青年患者更傾嚮于選擇放療；而對于已經沒有生育要求的患者，通過手術治療較好。
목적：탐토자궁근치성절제수술화방료치료조기궁경암적림상효과。방법선취조기궁경암환자166례，수궤장기분위량조，각83례。A조채취자궁근치성절제수술；B조채취방료。통계량조환자병발증적발생솔；우치료후1년채용궁경암환자생활질량량표평개량조환자적생활질량。결과 A조환자편비、배뇨곤난、뇨실금、음도간조、성교곤난이급조홍발생솔분별위71.08%、40.96%、42.17%、36.14%、19.28%화31.33%，명현고우B조(24.10%、14.46%、25.30%、20.48%、8.43%、6.02%)；B조복통、복사、혈편발생솔분별위24.10%、44.58%、25.30%，명현고우A조(6.02%、7.23%、2.41%)。량조환자불동병발증적발생솔비교차이균유통계학의의(P<0.01)。량조환자생활질량재구체상황、사회상황、정감상황、공능상황이급기타상황방면득분차이균무통계학의의(P>0.05)。결론대조기궁경암환자진행치료시，림상의생가이근거환자적년령화기망제정개체화적방안，대우유생육수구적중청년환자경경향우선택방료；이대우이경몰유생육요구적환자，통과수술치료교호。
Objective To explore the clinical effects of radical hysterectomy and radiotherapy in the treatment of early cervical cancer. Methods 166 patients with early cervical cancer were selected,and they were randomly assigned into two groups of 83 patients,making them comparable.Group A was given radical hysterectomy;the group B was given ra-diotherapy.Incidence of complications in the two groups of patients were statistically collected;one year after the treat-ment,scale of life quality for patients with cervical cancer was applied to assess the life quality in the two groups of patients. Results Incidences of constipation,dysuria,urinary incontinence,colpoxerosis,dyspareunia and redness were 71.08%,40.96%,42.17%,36.14%,19.28%and 31.33%respectively,which were significantly higher than those in group B (24.10%,14.46%,25.30%,20.48%,8.43%,6.02%);incidences of abdominal pain,diarrhea and bloody stool were 24.10%, 44.58% and 25.30% respectively,which were significantly higher than those in group A (6.02%,7.23%,2.41%).There were significant differences between incidence of different complications in the two groups of patients (P<0.01).Scores of life quality in aspects of stomatic condition,social condition,emotional condition,functional condition and other condi-tions were not significantly different between the two groups (P>0.05). Conclusion In the treatment for patients with early cervical cancer,clinical physicians can formulate individualized protocol according to patients' age and expecta-tions.Young and middle-aged patients who are in need of childbearing prefer to radiotherapy;for those who are not in need of childbearing,surgical treatment is better.
