目的 探讨三维适形放疗在宫颈癌根治术后治疗的可行性及临床优势.方法 选取90例宫颈癌患者,其中观察组46例为三维适形放疗组,对照组44例为常规放射治疗组,综合评价两种治疗方案的临床疗效、治疗副反应、生存质量等.结果 两组1、2年生存率及局部控制率均为100％,观察组的直肠反应、膀胱不良反应发生率低于对照组,差异有统计学意义(P＜0.05).结论 三维适形放疗与常规放疗治疗宫颈癌的近期疗效相近,但三维适形放疗明显降低了直肠、膀胱反应的发生率及严重程度,明显改善了患者的生存质量.%Objective To investigate the radical feasibility and clinical advantages of three-dimensional conformal radiotherapy in treating cervical cancer. Methods 90 cases of cervical cancer were selected and they were divided into observation group with 46 cases for three-dimensional conformal radiotherapy and control group with 44 for conventional radiotherapy. A comprehensive evaluation was made to judge the clinical efficacy, treatment side effects, quality of life and etc for two treatment options. Results The 2-year survival and local control rates for both groups were 100%. But there were difference in adverse reactions: the observation group's response rates to the rectum, bladder reaction were lower than those of the control group, and the difference was statistically significant (P <0.05). Conclusion Although the overall curative effect between three-dimensional conformal radiotherapy and conventional radiotherapy is similar and has no difference in statistically significance, the treatment of the former can reduce the incidence of rectal and severity of reaction, and can improve the patients' quality of life.
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