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目的探讨宫颈癌合并妊娠的合理诊疗方案。方法对我院1990年10月至2006年12月期间诊治的11例宫颈癌合并妊娠的临床资料进行回顾性临床诊疗分析,并进一步探讨宫颈癌合并妊娠的合理诊疗方案。结果7例无复发转移,2例带瘤生存,1例失访,1例生存3年后肺部转移死于多脏器衰竭。结论妊娠合并宫颈癌决定治疗方针的第一要素是宫颈癌的临床分期,其次是妊娠年龄、妊娠周、妊娠次数及有无生育此儿的愿望。综合考虑各因素,决定个性化治疗方案。
Objective To investigate the reasonable diagnosis and treatment of cervical cancer complicated with pregnancy. Methods Retrospective clinical diagnosis and treatment of 11 cases of cervical cancer complicated with pregnancy diagnosed and treated in our hospital from October 1990 to December 2006 were retrospectively analyzed and the reasonable diagnosis and treatment scheme of cervical cancer complicated with pregnancy was further explored. Results There was no recurrence and metastasis in 7 cases, 2 cases survived with tumor and 1 case was lost. One case died of multiple organ failure after lung metastasis in 3 years. Conclusions The first element in the treatment decision of pregnancy with cervical cancer is the clinical stage of cervical cancer, followed by the gestational age, the number of gestational weeks, the number of pregnancies and the desire to have children. Comprehensive consideration of various factors, decided to personalized treatment programs.