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本文报告了203例宫颈患者使用高剂量率后装腔内放射治疗的主要并发症及生存情况,外放射用60钴机或加速器,腔内用西德产布克勒后装机治疗。全组已随访3~5年,其中无癌生存181人,带癌生存9人,13人死亡。无癌生存的181人,有151例无明显症状,不仅可维持正常生活、部分年纪较轻者还能照常上班和参加田间劳动。本组病例近期放疗反应不明显,远期反应主要是放射性直肠炎和膀胱炎,其发生率各为9.8%和8.9%。除1例发生直肠阴道瘘及两例膀胱出血较多经补血治疗外,其余均用药物治疗,多在6个月治愈。
This article reports the main complications and survival of 203 patients with cervical cancer who received high-dose radiation after intracavitary radiation therapy. External radiotherapy was performed with a cobalt 60 or accelerator and after the intracavitary device was installed in West Germany. The whole group has been followed up for 3 to 5 years, of which 181 were cancer-free, 9 were cancer-bearing and 13 were fatal. 181 patients without cancer survived, 151 patients had no obvious symptoms, not only to maintain normal life, some of the younger people can work as usual and participate in field work. The recent radiotherapy in this group of patients was not obvious, long-term reactions are mainly radiation proctitis and cystitis, the incidence rates were 9.8% and 8.9%. In addition to 1 case of rectovaginal fistula and two cases of bladder bleeding more blood treatment, the rest are treated with drugs, mostly cured at 6 months.