82例子宫内膜癌复发高危因素分析.docVIP

82例子宫内膜癌复发的高危因素分析 　　【摘要】 目的 探讨子宫内膜癌复发的高危因素并进行分析。方法 本院2000年1月至2005年1月收治的子宫内膜癌患者82例进行定期随访,对复发和未复发进行高危因素的分析和探讨。结果 82例子宫内膜癌患者中复发26例,总复发率31.7%。单纯手术组26例,局部复发14例,复发率53.84 %;远处复发9例,复发率34.61 %。手术+综合治疗组56例,局部复发9例,局部复发率16.07%;远处复发10例,远处复发率17.285%。结论 子宫内膜癌复发的高危因素进行总结,复发与临床期别、组织学分级、肌层浸润、盆腔及腹主动脉旁淋巴结转移和腹腔细胞学检查阳性等有着密切关系。首次治疗方法对患者的生存率有较大的影响。 　　【关键词】 子宫内膜癌;复发;高危因素 　　 　　82 cases of endometrial cancer risk factors of recurrence 　　WANG Ai-hua. 　　Obstetrics and Gynecology People’s Hospital,Henan Province 476100 China 　　【Abstract】 Objective To investigate the recurrence of endometrial cancer risk factors and analysis. Methods The hospital in January 2000 in January 2005 year admitted 82 cases of endometrial cancer patients for regular follow-up,the recurrence and non-recurrence risk factors carried out the analysis and discussion. Results 82 patients with endometrial cancer,26 cases of recurrence,the total recurrence rate was 31.7% recurrence rate. Surgery alone group,26 cases of local recurrence in 14 cases,recurrence rates were as follows: 53.84%; distant recurrence in 9 cases,the recurrence rate rates were as follows: 34.61%. Surgical + combined treatment group 56 cases,9 cases of local recurrence,local recurrence rate was 16.07%; 10 cases of distant recurrence,distant recurrence rate of 17.285%. Conclusion The recurrence of endometrial cancer risk factors to sum up,recurrence and clinical stage,histological grade,myometrial invasion,and pelvic and abdominal para-aortic lymph node metastasis and peritoneal cytology-positive and other closely related. Treatment right the first time,the survival rate of patients with a greater impact. 　　【Key words】 Endometrial carcinoma; Recurrence; Rsk factors 　　 　　子宫内膜癌(endometrial cancer.EC)是女性常见生殖系统恶性肿瘤之一。治疗方式上通常是手术为主,辅以放疗和(或)化疗的综合治疗。但仍有复发病例,治疗上比较困难。为了进一步探讨晚期子宫内膜癌??发因素,为减少子宫内膜癌复发,为临床诊断治疗提供依据,笔者对此进行了深入的探讨,现报告如下。 　　1 资料与方法 　　1.1 临床资料 本组病例来源于本院2000年1月至2005年1月收治的子宫内膜癌患者82例。首次治疗年龄为38~68岁,平均年龄53. 5岁。60岁者15例。80例有一次以上分娩史,2例无妊娠分娩史;绝经前发病9例,绝经后发病73