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对1959～1989年用单纯根治性放疗(A组)892例宫颈癌(按FIGO分期IB415例,ⅡA137例,Ⅱ340例)与放疗加手术联合治疗(B组)306例宫颈癌(IB197例,ⅡA44例,ⅡB65例)的结果进行比较。 本组90％以上为上皮样癌,腺癌6％,腺鳞癌2％,其它类型<1％。A组外照射用高能机光子线,前后与后前对穿野,15×15cm(IB、ⅡA)或18×15cm(ⅡB).5次/周,1.8～2Gy/次,全盆10～40Gy,然后屏蔽中线宫旁加量到50Gy;内照射一般2次,用镭、~(60)CO与~(137)铯源,首次给10～20Gy,依肿瘤消退情况2～3周后给第2次,在内照射中继续外照射。使IB、ⅡA患者A点为70～85Gy,病灶巨大或ⅡB者为
A total of 306 cervical cancer cases (IB197 cases, ⅡA44) with 892 cases of cervical cancer (group IB415 cases, ⅡA137 cases and Ⅱ 340 cases) and radiotherapy plus operation (group B) were treated with radical radiotherapy (group A) Cases, Ⅱ B65 cases) results were compared. More than 90% of the group is epithelial carcinoma, adenocarcinoma 6%, adenosquamous carcinoma 2%, other types <1%. A group of external irradiation with high-energy photon lines, before and after the former on the wild, 15 × 15cm (IB, Ⅱ A) or 18 × 15cm (Ⅱ B) .5 times / week, 1.8 ~ 2Gy / , And then shield the midline dose to 50Gy; internal irradiation generally 2 times, with radium, ~ (60) CO and ~ (137) cesium source, for the first time to 10 ~ 20Gy, according to tumor regression 2 to 3 weeks after the first 2 times, continue the external irradiation in the internal irradiation. So that IB, Ⅱ A patients with point A 70 ~ 85Gy, lesions or Ⅱ B was huge