介入治疗在宫颈癌综合治疗中的临床应用.pdf
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当代医学 2010年l2月第16卷第35期总第226期 ContemporaryMedicine,Dec.2010,Vo1.16No.35IssueNo.226
doi:10.3969/j.issn.1009—4393.2010.35.019
介入治疗在宫颈癌综合治疗中的临床应用
郭旁蓉 罗仕华 石峰高 张辉敏 熊琼
[摘要] 目的 探讨介入治疗在宫颈癌综合治疗中的临床价值。方法 46例宫颈癌患者随机平均分为实验组与对照组。实验组外科术前行化疗
栓塞、术后灌注化疗+放疗;对照组外科手术加术后静脉化疗、放疗。结果 实验组术前介入治疗后肿瘤组织坏死,手术切除顺利,术后灌注化疗
加放疗,可有效地清除、抑制、延缓残存癌组织的复发、转移,远期并发症较对照组低;1、3、5年存活率分别为915%0、637%、451%。对照
组患者术中出血较实验组多,1、3、5年存活率分别为827%、52 8%、2l5%0。结论 介入治疗可提高宫颈癌的治疗效果 在宫颈癌的综合治疗
中起着重要作用。
[关键词] 宫颈癌,介入治疗;化疗;放疗
Clinicalvaluationofinterventionaltherapyinthecombinedtherapyinthetreatmentofcervicalcarcinoma
GUO Yan—rong,LUO Shi-hua,SHIFeng-gao,ZHANG Min—hui,XlONG Qiong
ObstetricsandGynecology,DouhutihospitalofGongancounty,JingzhouHubei434300China
ThedepartmentoftechnologyInterventionalRadiology,TongjiMedicalCollege,HuazhongUniversityofScienceand,Union
Hospital,Hubei430022,China
TheSurgery,DouhutihospitalofGongancounty,JingzhouHubei434300China
A【bstract】ObjectiveThispaperwastostudytheclinicalvaluationofinterventionaltherapyinthetreatmentofcervicalcarcinoma.Methods
Forty—siXcaseswithcervicalcarcinomawererandomlydividedintotwogroups,experimentalgroupandexaminationgroup,of23casesineach The
experimentalgroupreceivedtransarterialchemoembolization(TACE)beforesurgicaloperationsandtransarterialinfusion(TAI)aftersurgicaloperations
andradiotherapyaswel1.Buttheexaminationgroup receivedthesameapproachesexceptforinterventionalapproaches.Results ByuseofTACE
beforesurgicaloperations,thetumorvolumesinexperimentalgroupbecamesmallerwithnecrosisoftheutmorissueby imageexamination,the
tumorremovalsweresuccessfulandtherecurrenceandmetastasisofcancertissuecanbeeffectivelyinhibitedbyuseofTAIaftersurgicaloperations
andthelong—term complicationwasscarcebutwerenotthesameofwhichtheexaminationgroup.The1,3,5-yearsurvivalrateofexperimental
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