Ⅰ型子宫内膜癌患者盆腔淋巴结转移危险因素分析

发布时间：2018-04-27 04:41

本文选题：子宫内膜癌 + 淋巴结转移　；参考：《实用妇产科杂志》2017年08期

【摘要】：目的:探讨Ⅰ型子宫内膜癌患者盆腔淋巴结转移相关危险因素,为制定合理手术范围提供依据。方法:对136例Ⅰ型子宫内膜癌患者淋巴结转移的危险因素进行分析。单因素采用χ~2检验或Fisher确切概率法。多因素采用Logistic回归模型。结果:136例Ⅰ型子宫内膜癌患者盆腔淋巴结阳性率9.56%(13/136)。单因素分析表明Ⅰ型子宫内膜癌的组织学分级、癌灶直径大小、肌层浸润深度、脉管浸润与淋巴结转移有关(P0.05);多因素Logistic回归模型分析显示组织低分化、肌层浸润深度≥1/2、癌灶直径≥2 cm、有脉管浸润是Ⅰ型子宫内膜癌盆腔淋巴结转移的独立危险因素(P0.05)。结论:Ⅰ型子宫内膜癌患者盆腔淋巴结转移率低。组织低分化、肌层浸润深度≥1/2、癌灶直径≥2 cm、有脉管浸润的Ⅰ型子宫内膜癌患者更易发生盆腔淋巴结转移。
[Abstract]:Objective: To explore the risk factors of pelvic lymph node metastasis in patients with type I endometrial carcinoma, and to provide the basis for making a reasonable operation range. Methods: the risk factors of lymph node metastasis in 136 patients with endometrial carcinoma were analyzed. The single factor was determined by the X ~2 test or the exact Fisher probability method. The multiple factors adopted the Logistic regression model. The results were as follows: The positive rate of pelvic lymph nodes in 136 patients with type I endometrial carcinoma was 9.56% (13/136). The single factor analysis showed that the histological grade of type I endometrial carcinoma, the diameter of the tumor, the depth of the myometrium infiltration, the infiltration of the vasculature with the lymph node metastasis (P0.05); the multifactor Logistic regression model showed that the tissue was low differentiation, the depth of the myometrium infiltration was more than 1/2, and the carcinoma was more than 1/2. The diameter of the focal diameter is more than 2 cm, and the infiltration of the pulse tube is an independent risk factor (P0.05) for the pelvic lymph node metastasis of type I endometrial carcinoma. Conclusion: the pelvic lymph node metastasis rate of type I endometrium cancer patients is low. The tissue is low differentiation, the depth of the myometrium infiltration is more than 1/2, the diameter of the cancer is more than 2 cm, and the patients with type I endometrium cancer are more prone to pelvic lymphadenocarcinoma. Knot transfer.

【作者单位】：广西医科大学第一附属医院;
【分类号】：R737.33

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