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目的 :探讨Ⅰ期子宫体癌手术加放疗的疗效及放疗并发症的分析。方法 :1990年 10月～ 1999年 12月收治的Ⅰ期子宫体癌 14例 ,均经术后病理证实 ,14例行子宫全切除 +双侧附件切除 ,1例加盆腔淋巴结清扫。 14例均行术后放疗 ,TD4 0～ 6 5Gy。全部患者得到随访。 结果 :5年生存率为 14 / 14 ,局控率为 10 0 % ,10例在放疗过程中有轻度～中度的急性放射并发症 ,14例均无明显晚期放射并发症。结论 :术后放疗对提高Ⅰ期子宫体癌局控率及生存率可能有利
Objective: To investigate the efficacy and radiotherapy complications of stage Ⅰ uterine cancer surgery plus radiotherapy. Methods: From October 1990 to December 1999, 14 cases of stage I uterine cancer were confirmed by pathology, 14 cases underwent hysterectomy with bilateral accessory resection and 1 case with pelvic lymphadenectomy. All patients underwent postoperative radiotherapy, TD4 0 ~ 6 5Gy. All patients were followed up. Results: The 5-year survival rate was 14/14 and the local control rate was 10%. 10 patients had mild to moderate acute radiation complications during radiotherapy, and 14 patients had no obvious late radiation complications. Conclusion: Postoperative radiotherapy may improve the control rate and survival rate of stage I uterine cancer