42例早中期宫颈残端癌综合治疗的疗效分析

摘要

目的：探讨宫颈残端癌的发病原因及处理方法。方法：回顾性分析2002年6月-2012年6月入住我院妇科的42例宫颈残端癌患者。分为手术组及同步放化疗组。随诊5年了解其生存率及并发症发生情况。结果：手术组5年生存率76．2％，放化疗组5年生存率42．9％，差异有统计学意义（P＜0．05）。并发症主要为直肠阴道漏及严重放射性直肠炎，手术组明显低于放化疗组（P＜0．05）。结论：手术治疗早中期宫颈残端癌疗效较好，能够提高患者生存率，不失为有效的治疗。%Objective:To discuss the causes of 42 cases of cervical stump cancer and processing method.Meth-ods:To retrospectively analyze 42 cases of cervical stump carcinoma from June 2002 to June 2012.The 42 cases were divided into operation group and synchronous chemotherapy and radiotherapy group.We followed up for 5 years to get to the situation of the survival rate and complications .Results:5 years survival rate of the operation group was 76.2%,chemotherapy and radiotherapy group was 42.9%(P<0.05).The major complications of the treatment was rectovaginal fistula and severe radiation proctitis.The operation group was significantly lower than the chemotherapy and radiotherapy group(P<0.05).Conclusion:The method of operation treatment for early and medium stage cervi-cal stump cancer is better.It can increase the survival rate of the patients,and is effective.