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目的 :探讨 Nd:YAG激光联合放疗治疗巨块型宫颈癌的作用。方法 :对 5 0例中晚期巨块型宫颈癌患者 ,应用 Nd:YAG激光内凝切除肿瘤 ,术后追加放疗。结果 :5 0例患者 ,经 2～ 4次内凝切除后追加放疗 ,宫颈创面愈合光滑 ,未见新生物。 3年生存率为 84 % (4 2 /5 0 ) ,其中 b期为 90 .9% (2 0 /2 2 ) , b期为 78.6% (2 2 /2 8)。讨论 :Nd:YAG激光联合放疗治疗巨块型宫颈癌 ,可提高疗效 ,减少放射治疗剂量 ,降低放疗副作用及并发症 ,提高生存质量。
Objective: To investigate the effect of Nd: YAG laser combined with radiotherapy in the treatment of giant cervical carcinoma. Methods: Fifty cases of advanced massive cervical cancer were treated with Nd: YAG laser coagulation to excise the tumor and radiotherapy was added after operation. Results: 50 cases of patients, after 2 to 4 times of coagulation resection after additional radiotherapy, cervical wound healing smooth, no new creatures. The 3-year survival rate was 84% (4 2/50), of which 90.9% (20/2) in stage b and 78.6% (2/28) in stage b. Discussion: Nd: YAG laser combined with radiotherapy for massive cervical cancer can improve the curative effect, reduce the dose of radiation therapy, reduce the radiotherapy side effects and complications, and improve the quality of life.