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目的 探讨宫颈癌广泛性子宫切除和双侧盆腔淋巴结清扫术后补充放疗的适应证。方法 对１９７４ 年～１９９５ 年１０１ 例ＦＩＧＯⅠｂ 和Ⅱａ 期宫颈癌广泛性子宫切除和盆腔淋巴结清扫术后辅以放疗的患者的有关临床资料进行回顾性分析。结果 淋巴结转移、细胞类型和肿瘤级别为影响宫颈癌预后的重要因素。所有病人５ 年生存率为８５．８％ ，仅有淋巴结转移时，５ 年生存率为６７．２％ 。而淋巴结阴性组的病人５ 年生存率为９３．９％ （ Ｐ＜０ ．０１）。与治疗有关的并发症占８．９％ 。结论 对有高危因素的宫颈癌病人在术后应及时补充放疗，可提高盆腔控制和治愈率。
Objective To investigate the indications of radiotherapy after extensive hysterectomy and bilateral pelvic lymph node dissection of cervical cancer. Methods The clinical data of 101 patients with FIGOⅠb and Ⅱa cervical cancer extensive radical hysterectomy and pelvic lymph node dissection combined with radiotherapy from 1974 to 1995 were analyzed retrospectively. Results Lymph node metastasis, cell type and tumor grade were the important factors affecting the prognosis of cervical cancer. The 5-year overall survival rate was 85.8% for all patients and 67.2% for 5-year survival with lymph node metastases alone. The 5-year survival rate of patients with node-negative was 93.9% (P <0.01). Treatment-related complications accounted for 8.9%. Conclusions For cervical cancer patients with high risk factors, radiotherapy should be supplemented promptly after operation to improve pelvic control and cure rate.