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目的探讨早期子宫颈癌的治疗方法、临床疗效及其影响因素。方法分析手术治疗早期子宫颈癌45例临床资料。按F1GO分期,Ⅰ期22例、Ⅱ期23例。单纯手术12例,以手术为主的综合治疗33例。广泛性全子宫切除+双附件切除+盆腔淋巴结清扫37例,广泛性全子宫切除+单附件切除+盆腔淋巴结清扫8例。观察肿瘤大小、病理分级、病理类型、临床分期及有无淋巴结转移对术后生存率的影响。结果45例中有43例获随访,其中3例死亡,全组死亡率6.98%。3年生存率92.86%(26/28),5年生存率83.33%(15/18)。经统计分析,其预后与肿瘤大小、有无淋巴结转移有关(P<0.05)。结论手术是治疗早期子宫颈癌的首选和有效的手段,早期诊断及早期治疗对改善其预后有帮助。
Objective To explore the treatment of early cervical cancer, clinical efficacy and its influencing factors. Methods Analysis of 45 cases of early cervical cancer surgery. According to F1GO staging, stage Ⅰ 22 cases, stage Ⅱ 23 cases. Simple surgery in 12 cases, the main surgical treatment of 33 cases. Extensive hysterectomy + double attachment removal + pelvic lymph node dissection in 37 cases, extensive hysterectomy + single attachment dissection + pelvic lymph node dissection in 8 cases. The effects of tumor size, pathological grade, pathological type, clinical stage and lymph node metastasis on the postoperative survival rate were observed. Results 43 cases of 45 cases were followed up, 3 of them died, the whole group mortality was 6.98%. The 3-year survival rate was 92.86% (26/28) and the 5-year survival rate was 83.33% (15/18). The statistical analysis, the prognosis and tumor size, with or without lymph node metastasis (P <0.05). Conclusion Surgery is the first choice and effective method for the treatment of early stage cervical cancer. Early diagnosis and early treatment are helpful to improve the prognosis.