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我院1991年7月—1992年8月,使用上海生产的~(60)Co高剂量后装机加~(60)Co体外照射,采用两种不同组合治疗30例宫颈癌。通过近期临床观察,探讨~(60)Co高剂量后装机加体外照射的疗效,并比较两种治疗方式的优缺点。资料和方法30例宫颈癌患者,年龄38—76岁,平均56岁,其中50岁以上20例,占66.6%。临床分期Ⅰ_b期1例,Ⅱ期17人(Ⅱ_a期2例,Ⅱ_b期15例),Ⅲ期9例,宫颈癌术后阴道残端复发3例。肿瘤类型:菜花型15例,糜烂型5例,结节型7例,溃疡型3例。病理类型及分化程度鳞癌25例,其中高分化3例,中分化18例,低分化4例。腺癌4例,均为中分化。中分化腺鳞混合癌1例。采取两种方式治疗 1.四野垂直外照加腔内治
Our hospital from July 1991 to August 1992, the use of Shanghai-made high-dose post-dose of ~ (60) Co plus ~ (60) Co external irradiation, the use of two different combinations of 30 cases of cervical cancer. Through the recent clinical observation, to investigate the effect of high dose of ~ (60) Co loaded with external irradiation, and to compare the advantages and disadvantages of the two treatment methods. Materials and Methods 30 cases of cervical cancer patients, aged 38-76 years, mean 56 years, of which 20 cases over the age of 50, accounting for 66.6%. There were 1 case of clinical stage Ⅰ_b, 17 cases of stage Ⅱ (2 cases of stage Ⅱ_a and 15 cases of stage Ⅱ_b), 9 cases of stage Ⅲ, and 3 cases of recurrent vaginal stump after cervical cancer. Tumor types: cauliflower in 15 cases, erosive in 5 cases, nodular in 7 cases, 3 cases of ulcer. Pathological type and degree of differentiation of squamous cell carcinoma in 25 cases, of which 3 cases of well-differentiated, moderately differentiated in 18 cases, poorly differentiated in 4 cases. Adenocarcinoma in 4 cases, were moderately differentiated. Differentiation of adenosquamous carcinoma in 1 case. Take two ways to treat 1. Four wild vertical external cavity plus governance