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当今,对本病所有期别的治疗比较一致的意见是放疗,但对原位癌偶用局部性切除,对ⅣA 则用放射与手术的联合治疗。本文报告马利兰大学医院1957～1975年88例患者主要应用放疗的经验。年龄26～87岁,中位与平均年龄60岁。鳞癌95%,腺癌5%。早期病变者仅用短距离治疗(Brachytherapy),晚期者应用内外照射联合治疗。O 期:用 Bloedorn 阴道施用器作腔内镭疗,表面量80～100Gy/5～6天.Ⅰ期:常用长镭针(有效长度4.5cm)以及个别用~(192)铱作间质短距离治疗,TD55～60Gy/4天,对表浅病灶(<0.5cm)用Bloedorn 施用器,剂量与 O 期同.Ⅱ、Ⅲ及Ⅳ期:先行盆腔外照射40Gy/4周。宫旁增加10～15/1～
Today, more consistent views on all phases of the disease are radiotherapy, but occasional local excision of carcinoma in situ, combined treatment of radiation and surgery for IVA. This article reports on the experience of primary radiotherapy in 88 patients at the University of Maryland Hospital from 1957 to 1975. Age 26 to 87 years, median and average age 60 years. 95% of squamous cell carcinoma and 5% of adenocarcinoma. Early lesions were treated only with Brachytherapy, and those with advanced lesions were treated with internal and external radiation. Phase O: Intraluminal radium therapy with Bloedorn vaginal applicator, surface dose 80 to 100 Gy/5 to 6 days. Phase I: commonly used long radium needle (effective length 4.5 cm) and individual 192 铱 for short interstitial From the treatment, TD55 ~ 60Gy / 4 days, on the superficial lesions (<0.5cm) with Bloedorn applicator, dose and phase O. II, III and IV: first outside the pelvic irradiation 40Gy / 4 weeks. Increased by 10 to 15/1 to the palace