目的研究巨块型宫颈癌 b期术前介入化疗加血管栓塞的远期疗效。方法术前介入化疗加血管栓塞组 (A组 )及术前放疗组 (B组 ) ,治疗后 2～ 4周两组患者均行广泛全子宫加盆腔淋巴结清扫术。结果 A、B两组的 3年生存率分别为 91.0 1%、88.48% ,5年生存率分别为 81.79%、73 .3 7% ,A组复发率 2 1.7%低于 B组 48.6% (P<0 .0 5 ) ,两组并发症均可治愈。结论两组生存率无明显差异 ,但术前介入化疗加血管栓塞可明显降低术后复发率 ,尤其是腺癌患者 ,延长无瘤生存期 ,提高生存质量 Objective To study the long-term curative effect of preoperative chemotherapy and embolization of massive b-type cervical cancer. Methods Preoperative interventional chemotherapy plus embolization (group A) and preoperative radiotherapy (group B), 2 to 4 weeks after treatment, both groups underwent extensive hysterectomy and pelvic lymphadenectomy. Results The 3-year survival rates of A and B groups were 91.0% and 88.48%, respectively. The 5-year survival rates were 81.79% and 73.37% respectively. The recurrence rates in group A and B were both 1.7% and 48.6% <0. 05), two groups of complications can be cured. Conclusion There was no significant difference in survival between the two groups, but preoperative chemotherapy plus embolization could significantly reduce the recurrence rate, especially in patients with adenocarcinoma, prolong the life span of disease-free and improve the quality of life