论文部分内容阅读
密执安医学中心医学院1970~1985年间,经病理诊断宫颈鳞癌753例,按 FIGO 分期,特别划分微小浸润癌(I_A 期):浸润深度≤3 mm;宫旁组织刚受累为小Ⅱ_B 期;宫旁组织受累但未达盆壁者为大Ⅱ_B 期。Ⅰ期病人常规行静肪肾盂造影(IVP)和胸 X 片检查,晚期病人常规行 IVP、胸 X 光片、膀胱镜、钡灌肠摄片和乙状结肠镜检查术,部分行淋巴管造影。治疗采用外照射联合腔内照射,A 点总量8000~9000CGy,盆腔采用条形野技术照射1980CGy(每日180CGy),外照射中线挡铅,但盆壁剂量要达5000CGy。两次腔内照射总剂量
Between 1970 and 1985, the Michigan Medical Center Medical Center diagnosed 753 cases of cervical squamous cell carcinoma by pathology. According to FIGO staging, the patients were divided into minimally invasive carcinoma (I_A stage): infiltration depth ≤3 mm; ; Palace involvement but not up to the pelvic wall for large Ⅱ_B period. Patients in stage I routinely undergo IVP and X-ray examination. IVP, chest X-ray, cystoscopy, barium enema radiography and sigmoidoscopy are performed routinely in advanced patients. Lymphangiography is performed in some patients. The treatment of external irradiation combined with intracavitary irradiation, A total of 8000 ~ 9000CGy, pelvic use of wild field technology irradiation 1980CGy (daily 180CGy), external beam to block the middle line, but the pelvic floor dose to reach 5000CGy. Total intraluminal irradiation twice