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目的：探讨子宫颈癌放疗后复发的有关因素和再治疗方法。方法：１３５０例子宫颈癌放射治疗后２１５例复发，１０３例再治疗，采用放疗和（或）化疗，２例行盆腔脏器去除术。结果：临床Ⅰ、Ⅱ、Ⅲ、Ⅳ期子宫颈癌单纯放疗后复发率分别为９．０％、１２．２％、１７．１％、３／３（Ｐ＜０．００５）；手术加放疗组复发率为２６．５％；病理类型中结节型、菜花型、空洞型、糜烂型复发率分别为２１．１％、１４．５％、１０．４％、６．４％（Ｐ＞０．００５）；体外照射加Ｃｏ６０腔内后装及体外照射加腔内镭疗治疗的复发率为１５．３％、１６．０％（Ｐ＞０．０５）。放疗后２年内复发数为１６１例。再治疗者生存期７～１６个月，未再治疗者生存期２～８个月。结论：子宫颈癌放疗后复发与临床分期、病理类型、术后放疗有明显关系，与放疗方式无关。
Objective: To investigate the related factors and re-treatment of cervical cancer recurrence after radiotherapy. Methods: A total of 215 cases of cervical cancer were retrospectively resected after radiotherapy in 1350 cases. 103 cases were re-treated with radiotherapy and / or chemotherapy and 2 cases were treated with pelvic organ excision. Results: The recurrence rates of clinical stage Ⅰ, Ⅱ, Ⅲ and Ⅳ cervical cancer after radiotherapy were 9.0%, 12.2%, 17.1%, 3/3 (P <0.005) The recurrence rate was 26.5%. The recurrence rates of nodules, cauliflower type, cavitary type and erosive type were 21.1%, 14.5%, 10.4% and 6.4% in pathological type (P> 0.005). The relapse rate after in vitro irradiation with Co60 intracavitary and external beam plus intraluminal radiotherapy was 15.3% and 16.0%, respectively (P> 0.05). The number of recurrence within 2 years after radiotherapy was 161 cases. Survival of re-treatment of 7 to 16 months, no re-treatment of survival of 2 to 8 months. Conclusion: Cervical cancer recurrence after radiotherapy and clinical stage, pathological type, postoperative radiotherapy have a clear relationship, and radiotherapy has nothing to do.