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目的探讨全子宫切除术后发现浸润性宫颈癌的处理方法。方法分析1999年至2007年收治的全子宫切除术后浸润性宫颈癌病例的临床病理资料。结果16例术后行补救性放疗,3例行再次手术治疗,1例未行进一步治疗。随访6~60个月,平均33个月,3年、5年生存率分别为68.25%、61.43%,Cox比例风险模型分析发现组织学类型是影响预后的独立因素(P<0.00)。结论放疗是可行的补救性治疗措施。
Objective To investigate the treatment of invasive cervical cancer after hysterectomy. Methods Clinical data of patients with invasive cervical cancer after hysterectomy admitted from 1999 to 2007 were analyzed. Results After operation, 16 cases received salvage radiotherapy, 3 cases received reoperation and 1 case did not undergo further treatment. The follow-up ranged from 6 to 60 months. The average survival rates at 33 months, 3 years and 5 years were 68.25% and 61.43%, respectively. Cox proportional hazards model analysis revealed that histological type was an independent predictor of prognosis (P <0.00). Conclusion Radiotherapy is a feasible remedial treatment.