宫颈癌术后盆腔复发放疗的疗效及预后分析

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1、授予单位代码10089学号或申请号20153544中国图书分类号R737.33HebeiMedicalUniversity硕士学位论文专业学位宫颈癌术后盆腔复发放疗的疗效及预后分析研究生：蒋佳佳导师：刘红教授专业：肿瘤学二级学院：第四医院2018年3月目录中文摘要············································································································1英文摘要·········

2、···································································································3英文缩写··········································································································5研究论文宫颈癌术后盆腔复发放疗的疗效及预后分析前言··················

3、························································································6材料与方法······························································································6结果·······························································

4、···········································9附图··········································································································12附表··································································································

5、········14讨论··········································································································21结论··········································································································25参考文献····················

6、··············································································25综述复发宫颈癌的治疗············································································29致谢····················································································

7、······························39个人简历··········································································································40中文摘要宫颈癌术后盆腔复发放疗的疗效及预后分析摘要目的：本研究旨在探讨宫颈癌术后盆腔复发患者放射治疗效果及预后的影响因素。方法：回顾性分析2004年8月至2016年12月河北医科大学第四医院收治的宫颈癌手术治疗后盆腔复发

8、的患者147例，所有患者均行放射治疗伴或不伴化疗。根据不同的临床因素和病理因素进行分组，Logistic回归分析宫颈癌术后盆腔复发患者放疗效果的相关影响因素，采用Kaplan-Meier法统计生存率，并绘制相应生存曲线，生存率及预后相关因素对比使用log-ranktest。COX比例风险回归模型对单因素分析中有统计学意义的相关因素进行多因素分析。治疗后毒副反应分析采用卡方检验。结果：中位随访时间为33.2个月，大多数患者(95.0%)完成剂