早期子宫内膜癌腹膜后淋巴结转移的相关因素探讨

发布时间：2018-05-16 12:09

本文选题：子宫内膜癌 + 淋巴结转移　；参考：《现代妇产科进展》2017年11期

【摘要】：目的:研究临床早期子宫内膜癌腹膜后淋巴结转移的相关因素,为子宫内膜癌有选择实施腹膜后淋巴结切除寻找依据。方法:回顾分析2012年6月至2017年3月于我院行手术治疗的335例临床早期子宫内膜癌患者的术后病理资料,采用卡方检验进行单因素分析,Logistic回归进行多因素分析。结果:335例临床早期子宫内膜癌中,24例腹膜后淋巴结转移,淋巴结转移率7.16%。单因素分析提示,子宫肌层浸润深度、宫颈管浸润、脉管癌栓与早期子宫内膜癌的腹膜后淋巴结转移有关;Logistic多因素分析提示,宫颈管累及、脉管癌栓是临床早期子宫内膜癌腹膜后淋巴结转移的独立高危因素。结论:宫颈管浸润和脉管癌栓是早期子宫内膜癌腹膜后淋巴结转移的重要高危因素,是早期子宫内膜癌实施腹膜后淋巴结切除的重要依据。
[Abstract]:Objective: to study the related factors of retroperitoneal lymph node metastasis in early stage of endometrial carcinoma, and to find the basis for selective retroperitoneal lymph node resection in endometrial carcinoma. Methods: the postoperative pathological data of 335 patients with early clinical endometrial carcinoma who underwent surgical treatment in our hospital from June 2012 to March 2017 were retrospectively analyzed. Results 24 cases of retroperitoneal lymph node metastasis were found in 33 cases of clinical early endometrial carcinoma, and the lymph node metastasis rate was 7.16%. Univariate analysis showed that the depth of myometrium invasion, cervical canal infiltration, vascular tumor embolus and retroperitoneal lymph node metastasis were associated with early endometrial carcinoma. Vascular tumor embolus is an independent risk factor for retroperitoneal lymph node metastasis in early stage of endometrial carcinoma. Conclusion: cervical canal invasion and vascular tumor embolus are important risk factors for retroperitoneal lymph node metastasis in early endometrial carcinoma and are important evidence for retroperitoneal lymph node resection in early endometrial carcinoma.
【作者单位】：安徽医科大学第一附属医院妇产科;安徽省立医院妇产科;
【分类号】：R737.33

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