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目的 探讨子宫内膜癌综合治疗的疗效和价值。方法 回顾性分析1990 年1 月到1995 年12 月在本院作手术和综合治疗的85 例子宫内膜癌的临床和病理资料,其中单纯手术治疗17例,综合治疗68 例。基本手术范围为全子宫+ 双附件切除术,以高危组织学图像( 如子宫内膜腺癌Ⅲ级、含透明细胞癌、腺鳞癌、浆液性乳头状腺癌、深肌层浸润等) 为依据,辅以术前、术后放疗,选择性追加化疗,对所有病例进行追踪随访。结果 生命表统计5 年生存率86 .7 % 。结论 子宫内膜癌的综合治疗能达到满意的疗效。
Objective To investigate the efficacy and value of comprehensive treatment of endometrial cancer. Methods The clinical and pathological data of 85 cases of endometrial cancer undergoing surgery and comprehensive treatment in our hospital from January 1990 to December 1995 were analyzed retrospectively. Among them, 17 cases were treated by simple operation and 68 cases were treated by comprehensive treatment. The basic surgical range for the whole hysterectomy + double attachment resection to high-risk histological images (such as endometrial adenocarcinoma grade III, with clear cell carcinoma, adenosquamous carcinoma, serous papillary adenocarcinoma, deep muscle infiltration, etc.) Basis, supplemented by preoperative and postoperative radiotherapy, selective additional chemotherapy, follow-up of all cases. The results of life table statistics 5-year survival rate of 86. 7%. Conclusion The comprehensive treatment of endometrial cancer can achieve satisfactory results.