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本文对175例宫颈癌患者行根治手术的疗效进行了分析。该组病例中,Ⅰ期124例,Ⅱ期48例,无手术死亡。其5年及10年治愈率,I期各为92.6％及90.6％;Ⅱ期各为68.7％及60％。区域淋巴结发生转移时,手术疗效明显下降。复发死亡30例,其中3年内复发者占63.3％。作者认为,根治性手术治疗早期宫颈癌,不仅疗效较好,且有直接探查腹腔、了解区域淋巴结转移情况,对少数放射线治疗不适应的患者也可行治疗等优点。对于有淋巴结转移时的手术疗效及一些手术合并症,尚需进一步探讨,改进。
This article analyzed the efficacy of radical surgery in 175 patients with cervical cancer. In this group of patients, 124 patients were in stage I and 48 in stage II. No operative death occurred. The 5-year and 10-year cure rates were 92.6% and 90.6% for Phase I and 68.7% and 60% for Phase II, respectively. Regional lymph node metastasis, the surgical efficacy decreased significantly. There were 30 relapsed cases, of which 63.3% recurred within 3 years. The author believes that radical surgery for early treatment of cervical cancer, not only a good effect, and a direct exploration of the abdominal cavity, to understand the regional lymph node metastasis, for a small number of patients with radiation therapy is not suitable for treatment and other advantages. For the treatment of lymph node metastasis and some surgical complications, further study and improvement are needed.