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本文报道了对Ⅰ期子宫内膜腺癌的病人进行阴道顶端放射治疗后及时作经腹部子宫和双侧输卵管一卵巢切除术的效果评价和探讨。对83例病人作了5年零9个月的连续观察研究。这种作法使存活5年的病人达到91.8%。并发症少,病人接受得好。研究的目的为判定下面设想的准确程度: (1) 放射治疗加手术较单独作手术的预后效果好。(2) 术前对阴道顶端行放射治疗可降低局部复发率。(3) 镭疗几天后作子宫和双侧输卵管一卵
This article reports the evaluation and discussion on the effect of transvaginal uterus and bilateral tubal ovariectomy in patients with stage Ⅰ endometrial adenocarcinoma after vaginal top radiotherapy. Eighty-three patients were followed up for 5 years and 9 months. This practice led to 91.8% of patients surviving five years. Less complications, the patient received well. The purpose of the study was to determine the accuracy of the following assumptions: (1) Radiation therapy plus surgery performed better than surgery alone. (2) Preoperative radiotherapy on the top of the vagina can reduce the local recurrence rate. (3) After several days of radiotherapy for the uterus and bilateral tubal ovum