文档介绍：术前介入治疗对ⅠB~ⅡB 期宫颈癌治疗效果的分析
蔡名金1、麦伟文2、生秀杰1、何婉玲1、原志光1
(1 广州医学院第三附属医院放射科510150
2 广州医学院第三附属医院妇产科 510150)
[摘要] 目的通过对宫颈癌治疗前后MRI表现的分析,探讨术前介入治疗(动脉灌注化疗栓塞)对ⅠB~ⅡB期宫颈癌患者的近期与远期疗效的影响。方法将我院2000年1月—2007年11月期间收治的68例ⅠB~ⅡB宫颈癌患者随机分为观察组和对照组。观察组33例,术前介入治疗联合手术治疗,对照组35例,采用单纯手术治疗。治疗前后行MIR检查,观察MIR图像上治疗前后肿瘤大小及信号变化,比较两组的术后的生存率。结果 %;T2WI 信号变化观察组26例(%)信号消失;T1WI 增强扫描肿瘤强化表现观察组 25(%)例肿瘤不强化或轻微强化;淋巴结转移变化观察组盆腔内淋巴结肿大11例(%)。%%(P>),%%(P<)。结论术前介入治疗能为宫颈癌患者进行根治手术创造条件,降低术后复发,改善预后,是一种疗效显著的治疗方法。MRI成像对宫颈癌介入治疗疗效评估具有重要意义。
[关键词] 宫颈癌;介入治疗;磁共振成像;疗效;预后
The Effects of Preoperative Interventional Therapy on StageⅠB-ⅡB Cervical Carcinoma
[Abstract] Objective: Through presenting the findings of cervical carcinoma before, during and after therapy by ic resonance (MRI) imaging, To investigate the short-term and long-term clinical efficacy of preoperative interventional therapy (intraarterial chemoembolization) on stageⅠB-ⅡB cervical cancer. Methods: From January 2000 to November 2007, 68 patients with stageⅠB-ⅡB cervical cancer were enrolled and randomly divided into the study group and the control group. Patients in the study group (n=33) were treated with preoperative interventional therapy and surgical therapy. Patients in the control group (n=35) received surgical therapy. The changes of carcinoma lesion in size and signal were ev