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宮頸原位癌子宮全切,能活多久

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醫生您好!我九月查出得了原位癌剛做手術一個月,子宮全切,能有幾年存活? 宮頸原位癌

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佩蘭

佩蘭

2023-06-28 11:37:17


宮頸(jing)原位癌一(yi)般病變細胞幾乎或全部(bu)占(zhan)據(ju)上皮全層,如果(guo)在早(zao)期(qi)只要手術成功,術后按照正規的方(fang)案放療和化療,存活率至少在5年以(yi)上。

指(zhi)導建議:
建議手術后保(bao)持好的心態,還(huan)可以采用中藥和食物(wu)輔助治療,定期復(fu)查。

最新回答共有5條回答

  • 江蘇-吳**
    回復
    2023-06-28 14:14:06

    初期宮頸癌是一種癌癥的早期,那么初期宮頸癌可能活多久呢?

    早期宮頸癌,如果治療好的話,可以一直存活的。早期宮頸癌患者生存期有多長主要取決于病期的早和晚,治療方法是否得當,以及病人身體機能狀態,早期宮頸癌的治療主要是應先從宮頸病變入手,早期控制,早期用藥,效果都會比較滿意的,臨床上宮頸浸潤癌的五年生存率是67%,子宮頸早期癌的治愈率90%到92%,而宮頸原位癌的治愈率可以達到百分之百。

    要(yao)知道宮(gong)頸癌(ai)是最常見的婦科(ke)惡性腫瘤。原位癌(ai)高發年(nian)齡為30~35歲,浸潤癌(ai)為45~55歲,近(jin)年(nian)來其發病有(you)年(nian)輕化(hua)的趨勢。近(jin)幾十年(nian)宮(gong)頸細胞學篩查的普遍應用,使(shi)宮(gong)頸癌(ai)和癌(ai)前病變得以早期發現(xian)和治療,宮(gong)頸癌(ai)的發病率(lv)(lv)和死(si)亡率(lv)(lv)已有(you)明顯下降。

  • 北京-梁**
    回復
    2023-06-28 14:14:06

    早(zao)期(qi)(qi)如(ru)沒有(you)轉移(yi),手術(shu)(shu)(shu)(shu)(shu)治(zhi)(zhi)(zhi)(zhi)(zhi)療效果比較(jiao)(jiao)好,存活(huo)率(lv)在五年以上,過了五年在十年以上,十年后(hou)基(ji)本上體內(nei)無癌(ai)(ai)細胞了。心態很重要(yao)(yao),積(ji)極(ji)配合醫生(sheng)(sheng)治(zhi)(zhi)(zhi)(zhi)(zhi)療是關鍵。治(zhi)(zhi)(zhi)(zhi)(zhi)療:治(zhi)(zhi)(zhi)(zhi)(zhi)療原(yuan)(yuan)則(ze)(ze) 1.原(yuan)(yuan)位癌(ai)(ai):一(yi)般(ban)行(xing)全子(zi)宮(gong)(gong)(gong)(gong)(gong)切(qie)(qie)(qie)除(chu)(chu)(chu)(chu)術(shu)(shu)(shu)(shu)(shu),保留(liu)雙側卵(luan)巢。年輕要(yao)(yao)求生(sheng)(sheng)育者(zhe),可行(xing)宮(gong)(gong)(gong)(gong)(gong)頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)錐(zhui)形切(qie)(qie)(qie)除(chu)(chu)(chu)(chu)術(shu)(shu)(shu)(shu)(shu),切(qie)(qie)(qie)下的(de)(de)(de)(de)宮(gong)(gong)(gong)(gong)(gong)頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)組(zu)織(zhi)(zhi)(zhi)行(xing)連續病(bing)(bing)(bing)(bing)理切(qie)(qie)(qie)片檢(jian)查(cha),如(ru)發(fa)(fa)現早(zao)期(qi)(qi)浸(jin)潤癌(ai)(ai)則(ze)(ze)行(xing)次廣(guang)泛或(huo)廣(guang)泛子(zi)宮(gong)(gong)(gong)(gong)(gong)切(qie)(qie)(qie)除(chu)(chu)(chu)(chu)術(shu)(shu)(shu)(shu)(shu)加用(yong)(yong)放(fang)(fang)(fang)射(she)(she)治(zhi)(zhi)(zhi)(zhi)(zhi)療。 2.鏡(jing)(jing)下早(zao)期(qi)(qi)浸(jin)潤癌(ai)(ai):一(yi)般(ban)行(xing)擴大全子(zi)宮(gong)(gong)(gong)(gong)(gong)切(qie)(qie)(qie)除(chu)(chu)(chu)(chu)術(shu)(shu)(shu)(shu)(shu),即切(qie)(qie)(qie)除(chu)(chu)(chu)(chu)子(zi)宮(gong)(gong)(gong)(gong)(gong)及(ji)(ji)(ji)(ji)1 ̄2cm的(de)(de)(de)(de)陰(yin)道(dao),年輕患者(zhe)可保留(liu)卵(luan)巢,一(yi)般(ban)不(bu)(bu)需清除(chu)(chu)(chu)(chu)盆(pen)腔淋巴組(zu)織(zhi)(zhi)(zhi)。 3.Ⅰb-Ⅱa期(qi)(qi)浸(jin)潤癌(ai)(ai):可行(xing)廣(guang)泛性(xing)(xing)子(zi)宮(gong)(gong)(gong)(gong)(gong)切(qie)(qie)(qie)除(chu)(chu)(chu)(chu)及(ji)(ji)(ji)(ji)盆(pen)腔淋巴結(jie)清除(chu)(chu)(chu)(chu)術(shu)(shu)(shu)(shu)(shu),亦(yi)可選用(yong)(yong)放(fang)(fang)(fang)射(she)(she)治(zhi)(zhi)(zhi)(zhi)(zhi)療。但宮(gong)(gong)(gong)(gong)(gong)頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)癌(ai)(ai)首選手術(shu)(shu)(shu)(shu)(shu)或(huo)放(fang)(fang)(fang)療加手術(shu)(shu)(shu)(shu)(shu)的(de)(de)(de)(de)綜合治(zhi)(zhi)(zhi)(zhi)(zhi)療。 4.Ⅱb期(qi)(qi)以上浸(jin)潤癌(ai)(ai):首選放(fang)(fang)(fang)射(she)(she)治(zhi)(zhi)(zhi)(zhi)(zhi)療。一(yi)般(ban)采(cai)用(yong)(yong)體內(nei)外(wai)(wai)結(jie)合放(fang)(fang)(fang)療的(de)(de)(de)(de)方法。腔內(nei)治(zhi)(zhi)(zhi)(zhi)(zhi)療主(zhu)要(yao)(yao)針(zhen)對(dui)宮(gong)(gong)(gong)(gong)(gong)頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)的(de)(de)(de)(de)原(yuan)(yuan)發(fa)(fa)病(bing)(bing)(bing)(bing)源,放(fang)(fang)(fang)射(she)(she)源采(cai)用(yong)(yong)鐳或(huo)137銫。一(yi)般(ban)劑量為6000mg/h。體外(wai)(wai)照射(she)(she)主(zhu)要(yao)(yao)針(zhen)對(dui)宮(gong)(gong)(gong)(gong)(gong)頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)以外(wai)(wai)的(de)(de)(de)(de)轉移(yi)病(bing)(bing)(bing)(bing)源,放(fang)(fang)(fang)射(she)(she)源采(cai)用(yong)(yong)60鈷、線(xian)性(xing)(xing)加速器或(huo)電(dian)子(zi)回(hui)旋加速器,劑量一(yi)般(ban)為60Gy 用(yong)(yong)藥原(yuan)(yuan)則(ze)(ze) 1.宮(gong)(gong)(gong)(gong)(gong)頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)癌(ai)(ai)根治(zhi)(zhi)(zhi)(zhi)(zhi)術(shu)(shu)(shu)(shu)(shu)是,范圍廣(guang),創面大,尿管留(liu)置(zhi)時(shi)間長(chang),且(qie)陰(yin)道(dao)殘端開放(fang)(fang)(fang),因(yin)而屬(shu)于Ⅱ類(lei)(有(you)菌(jun))手術(shu)(shu)(shu)(shu)(shu)。術(shu)(shu)(shu)(shu)(shu)后(hou)應使用(yong)(yong)足量有(you)效抗(kang)生(sheng)(sheng)素(su)防(fang)治(zhi)(zhi)(zhi)(zhi)(zhi)感染(ran)。 2.因(yin)手術(shu)(shu)(shu)(shu)(shu)對(dui)腸管干擾較(jiao)(jiao)大且(qie)術(shu)(shu)(shu)(shu)(shu)后(hou)臥床(chuang)(chuang)時(shi)間較(jiao)(jiao)長(chang),不(bu)(bu)利于術(shu)(shu)(shu)(shu)(shu)后(hou)腸功能的(de)(de)(de)(de)恢復,故應注意靜脈補充營養及(ji)(ji)(ji)(ji)保持電(dian)解質平(ping)衡。預防(fang)常(chang)識:子(zi)宮(gong)(gong)(gong)(gong)(gong)頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)癌(ai)(ai)是女(nv)性(xing)(xing)生(sheng)(sheng)殖(zhi)器官最(zui)常(chang)見的(de)(de)(de)(de)惡性(xing)(xing)腫瘤(liu)。近20余年來由于連續性(xing)(xing)大面積(ji)普查(cha)普治(zhi)(zhi)(zhi)(zhi)(zhi),子(zi)宮(gong)(gong)(gong)(gong)(gong)頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)癌(ai)(ai)的(de)(de)(de)(de)發(fa)(fa)病(bing)(bing)(bing)(bing)率(lv)及(ji)(ji)(ji)(ji)死亡率(lv)明顯下降。流行(xing)病(bing)(bing)(bing)(bing)學(xue)調查(cha),子(zi)宮(gong)(gong)(gong)(gong)(gong)頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)癌(ai)(ai)發(fa)(fa)病(bing)(bing)(bing)(bing)與婚產(chan)、包皮垢、性(xing)(xing)行(xing)為、性(xing)(xing)傳染(ran)性(xing)(xing)疾病(bing)(bing)(bing)(bing)及(ji)(ji)(ji)(ji)病(bing)(bing)(bing)(bing)毒感染(ran)等有(you)關。據統(tong)計,早(zao)婚、早(zao)年性(xing)(xing)交、性(xing)(xing)生(sheng)(sheng)活(huo)紊亂(luan)、多產(chan)、包皮垢、人乳頭(tou)瘤(liu)病(bing)(bing)(bing)(bing)毒(HPV)及(ji)(ji)(ji)(ji)人類(lei)皰疹病(bing)(bing)(bing)(bing)毒(HSV)感染(ran)者(zhe),子(zi)宮(gong)(gong)(gong)(gong)(gong)頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)癌(ai)(ai)發(fa)(fa)病(bing)(bing)(bing)(bing)率(lv)明顯增高(gao)。子(zi)宮(gong)(gong)(gong)(gong)(gong)頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)癌(ai)(ai)診斷(duan)主(zhu)要(yao)(yao)根據病(bing)(bing)(bing)(bing)理和臨床(chuang)(chuang)。陰(yin)道(dao)不(bu)(bu)規則(ze)(ze)出血和異(yi)常(chang)排液,特別發(fa)(fa)生(sheng)(sheng)在絕(jue)經前(qian)后(hou),應高(gao)度警惕子(zi)宮(gong)(gong)(gong)(gong)(gong)頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)癌(ai)(ai)。輔助檢(jian)查(cha)如(ru)子(zi)宮(gong)(gong)(gong)(gong)(gong)頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)刮片。宮(gong)(gong)(gong)(gong)(gong)頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)管刮術(shu)(shu)(shu)(shu)(shu)細胞學(xue)檢(jian)查(cha),陰(yin)道(dao)鏡(jing)(jing)檢(jian)查(cha),子(zi)宮(gong)(gong)(gong)(gong)(gong)頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)活(huo)體組(zu)織(zhi)(zhi)(zhi)檢(jian)查(cha),宮(gong)(gong)(gong)(gong)(gong)頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)錐(zhui)形切(qie)(qie)(qie)除(chu)(chu)(chu)(chu)等有(you)較(jiao)(jiao)高(gao)的(de)(de)(de)(de)診斷(duan)價值。B超聲、CT、MRI、膀胱鏡(jing)(jing)檢(jian)查(cha)、靜脈腎盂造影及(ji)(ji)(ji)(ji)X線(xian)檢(jian)查(cha)等,對(dui)晚(wan)期(qi)(qi)病(bing)(bing)(bing)(bing)例(li)評(ping)估有(you)一(yi)定價值。子(zi)宮(gong)(gong)(gong)(gong)(gong)頸(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)(jing)癌(ai)(ai)的(de)(de)(de)(de)治(zhi)(zhi)(zhi)(zhi)(zhi)療主(zhu)要(yao)(yao)為手術(shu)(shu)(shu)(shu)(shu)治(zhi)(zhi)(zhi)(zhi)(zhi)療和放(fang)(fang)(fang)射(she)(she)治(zhi)(zhi)(zhi)(zhi)(zhi)療。放(fang)(fang)(fang)射(she)(she)治(zhi)(zhi)(zhi)(zhi)(zhi)療適應證廣(guang)泛,適用(yong)(yong)于Ⅰ~Ⅳ期(qi)(qi)病(bing)(bing)(bing)(bing)例(li),包括年老及(ji)(ji)(ji)(ji)有(you)嚴重合并(bing)癥或(huo)手術(shu)(shu)(shu)(shu)(shu)危險性(xing)(xing)較(jiao)(jiao)大者(zhe)均(jun)可用(yong)(yong)放(fang)(fang)(fang)射(she)(she)治(zhi)(zhi)(zhi)(zhi)(zhi)療。放(fang)(fang)(fang)射(she)(she)治(zhi)(zhi)(zhi)(zhi)(zhi)療效果肯定

  • 匿名用戶
    回復
    2023-06-28 14:14:06

    早期宮頸癌的術后存活率相當高,有的甚至不影響壽命。一般可以達到10年-20年以上,主要是跟自身的術后免疫力恢復有關。一般宮頸癌手術切除后5年生存率為50%—60%,復發后第二次手術五年生存率仍可達38.7%。而宮頸癌則僅有20%左右。
    宮頸癌是一種全身性疾病,術后仍會殘留很多癌細胞無法清除,一旦條件成熟,這些微小病灶就會成為宮頸癌術后復發、轉移的導火索。
    希望對你有所幫助!

  • 周口-李**
    回復
    2023-06-28 13:13:56

    問題分析:現在主要是宮頸原位癌,是由于人體長期的感染了HPV后引起的宮頸的癌變,如果未發生轉移,就認為是手術切除子宮后,應該是可以逐漸好轉的。
    意(yi)見建議(yi):手術后(hou)需適當用化療藥物和放射(she)治(zhi)療,延長患者(zhe)生命為(wei)治(zhi)療目的,但是很難徹底治(zhi)愈的,存活的時(shi)間(jian)不(bu)能確(que)定的。