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对宫颈癌IB期患者可行放疗或手术治疗应根据病人不同的因素来选择.本文作者对195例包括有下列情况的宫颈癌IB期患者选用了手术治疗:年龄在45岁或45岁以下;盆腔炎症性疾病;妊娠或产后;拒绝放疗;因解剖上的问题不宜放疗;具有诊断不明的盆腔肿块;疣状癌;分泌粘液的腺癌;曾行过放疗和梅毒等患者,均至少具有上述一项指征,12例有二项以上指征.4例因有放疗禁忌症,全身情况差,腹式根治性子宫切除术有危险而作Schauta-Amreich根治性阴道子宫切除术.71例围绝经期及绝经后妇女有盆腔炎症史或有盆腔放射史者同时
The feasibility of radiotherapy or surgical treatment of stage IB patients with cervical cancer should be based on different factors of the patient.We selected the surgical treatment of 195 cases of stage IB cervical cancer patients including the following cases: 45 years of age or below; pelvic Inflammatory diseases; pregnancy or postpartum; refuse radiotherapy; unfavorable radiotherapy due to anatomical problems; pelvic masses with unknown diagnosis; verrucous carcinoma; adenocarcinoma secreting mucus; patients who have undergone radiotherapy and syphilis have at least one of the above Of the indications, 12 cases have more than two indications .4 cases because of radiotherapy contraindications, poor general condition, radical radical hysterectomy risk Schauta-Amreich radical vaginal hysterectomy .71 cases of menopause Period and postmenopausal women have a history of pelvic inflammatory disease or pelvic radiation history at the same time