不同手术方式对Ⅰ期子宫内膜癌患者的预后分析

发布时间：2018-05-02 11:10

  本文选题：子宫内膜癌 + 全子宫双附件切除术　； 参考：《中国妇产科临床杂志》2017年05期

【摘要】：目的总结分析不同手术方式对Ⅰ期子宫内膜癌患者的预后,以选择最佳的外科治疗方式。方法回顾性分析上海交通大学医学院附属瑞金医院1995年1月至2008年3月收治的子宫内膜癌患者98例,术前诊断为Ⅰ期。根据手术方式分为两组,A组68例行全子宫双附件切除,B组30例行全子宫双附件切除+盆腔腹主动脉旁淋巴结清扫术,术后随访96~254个月。结果 98例随访率100%。93例最终分期为Ⅰ期的内膜癌病例中,A组5年无瘤生存率88.2%,B组84.0%;术后复发10例(10.8%),其中A组7例,B组3例,两组比较差异无统计学意义(P0.05)。复发者为ⅠA(1/2肌层)G2(肿瘤2 cm)、ⅠB G2、ⅠB G3,及非子宫内膜样腺癌。淋巴结清扫组5例分期上升为ⅢC期,预后不佳。结论对于早期子宫内膜腺癌(ⅠA期),肿瘤细胞分化良好(G1~G2),且无相关高危因素的患者,单纯行全子宫双附件切除术是最佳治疗方案。
[Abstract]:Objective to summarize and analyze the prognosis of patients with stage I endometrial carcinoma by different surgical methods and to select the best surgical treatment. Methods 98 cases of endometrial carcinoma treated in Ruijin Hospital affiliated to Shanghai Jiaotong University Medical College from January 1995 to March 2008 were retrospectively analyzed. According to the operation mode, 68 patients in group A underwent total hysterectomy and 30 patients in group B underwent pelvic abdominal abdominal aortic lymph node dissection. The follow-up period was 96 ~ 254 months. Results the follow-up rate of 98 cases was 100. 93 patients with stage 鈪，

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