| 刘伏香 谭志琴 龙丹 周艳 常青.青年妇女患宫颈癌的临床特点及预后分析[J].,2014,14(9):1676-1679 |
| 青年妇女患宫颈癌的临床特点及预后分析 |
| The Prognosis Analysis and Clinical Characteristicsof Young Women with Cervical Cancer |
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| DOI： |
| 中文关键词: 青年妇女 宫颈癌 临床及预后分析 |
| 英文关键词: Young women Cervical cancer Clinical and prognostic analysis |
| 基金项目:国家自然科学基金项目(30901611) |
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| 中文摘要: |
| 目的：探讨青年妇女患宫颈癌的临床特点并行预后分析。方法：选取2008 年1 月~2013 年1 月在我院接受治疗的青年妇女
宫颈癌33 例患者观察组，同期在我院接受治疗的大于35 岁49 例患者为对照组。对两组患者的发病相关因素及临床病理特征进
行回顾性分析及对两组患者预后分析，随访患者5 年内生存率及2 年内复发率。结果：两组患者初次性行为差异无统计学意义
（P>0.05）；两组患者避孕方式与妊娠次数比较均有显著性差异（P<0.05）；两组患者临床分期与宫颈形态无显著性差异（P>0.05）；
两组癌灶大小、病理分型、宫颈肌层浸润深度及盆腔淋巴转移具有显著性差异（P<0.05）；观察组较对照组患者早期（Ia-II a）与晚期
（≥II b）的两年内复发率及五年生存率差异均有显著性差异（P<0.05）。结论：青年妇女宫颈癌患者具有癌灶大、腺癌发病率高、宫
颈肌层浸润深度≥1/2 肌层和盆腔淋巴结转移阳性的临床特点。 |
| 英文摘要: |
| Objective:To investigate the prognostic analysis and Clinical Characteristics of young women with cervical cancer.Methods:We selected 33 young woman patients with cervical cancer who were treated during January, 2008 to January, 2013 in our
hospital as observation group, and 49 patients whose ages were elder than 35 years old as control group. We analyzed the modality
related factors and the clinical and pathological features in two groups of patients retrospectively. The prognosis of patients including
5-year survival rate and 2-year recurrence rate were followed up to analyze the prognosis of two groups.Results:There was no
statistically difference in first sexual intercourse between two groups (P>0.05). There was significant difference in contraceptive method
and number of pregnancy(P<0.05). There was significant difference in clinical stage and cervical morphology between two groups. There
was significant difference in cancer size, pathological type, the invasion depth in cervical muscle layer, pelvic lymph node metastases
between two groups(P<0.05). The 2-year recurrence and 5-year survival rate of early (Ia-II a) and late (≥II b) in observation group were
significantly different from the control group(P<0.05).Conclusion:Young women with cervical cancer have the clinical features of large
tumor size, high adenocarcinoma modality, cervical muscle layer invasion ≥1/2 muscle layer and pelvic lymph node metastasis. |
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