文档介绍：年轻子宫内膜癌患者手术范围的临床研究
【摘要】目的探讨年轻子宫内膜癌患者的适宜手术范围。方法对39例年龄<45岁的子宫内膜癌患者进行回顾性分析,根据手术方式对病人进行分类,其中行全子宫切除术(保留或不保留卵巢)为Ⅰ组,次广泛或广泛性子宫切除术(行或不行盆腔淋巴解清扫术)者为Ⅱ组,对术后病人进行随访,统计5年生存率,随访时间以月为单位。结果 39例随诊率中,5年内存活人数29例,%。结论对于I期高分化子宫内膜样腺癌,无深肌层浸润,有较好的随访条件的年轻患者可行全子宫切除术,予以保留单侧或部分卵巢,以提高其生活质量;其他类型者以次广泛或广泛性子宫切除术加盆腔淋巴结清扫术为佳。
【关键词】年轻病人;子宫内膜癌;手术方式
【Abstract】 Objective To study the suitable operation range of the young patients with endometrial Thirtynine endometrial carcinoma patients underwent operations below 45 years of age who were retrospectively studied for their prognosis. They were divided on the operation fashion into Ⅰ group with hysterectomy and group Ⅱ with hysterectomy plus Thirtynine cases were followed up and 29 patients were survival for 5 years old. Surival vate was %.Conclusion It had hysterectomy for the young patients with stageⅠendometrial carcinoma whom did not spread to muscular, other had hysterectomy with oophorectomy or extens
ive hysterectomy.
【Key words】 young patients,endometrial carcinoma,operation fashion
近年来,子宫内膜癌的发病率有逐年增高的趋势,年轻妇女发生率的升高尤为明显。对年轻妇女子宫内膜癌患者选择适宜的手术范围和治疗方案是一个值得探讨的问题。本文通过回顾性分析年轻子宫内膜癌患者的临床分期、手术方式、临床病理特点等,并进行术后随访,以探讨年轻妇女子宫内膜癌患者较为理想的手术方式。
1 资料与方法
资料来源收集滨医附院1980年6月—2006年12月期间经病理检查确诊的小于或等于45岁的获取随访资料者子宫内膜癌患者39例,作为研究对象。所有患者无其他恶性肿瘤史,术前均无化疗,放疗或激素治疗史。将病例分为两组:Ⅰ组14例,行全子宫切除术或全子宫切除+单侧卵巢;Ⅱ组25例,次广泛子宫切除术或广泛性或次广泛性子宫切除术+