不同手术方法治疗恶性潜能未定型子宫平滑肌肿瘤的术后复发率分析

发布时间：2018-03-02 23:17

本文选题：恶性潜能未定型子宫平滑肌肿瘤　切入点：STUMP　出处：《中国妇产科临床杂志》2017年01期 　论文类型：期刊论文

【摘要】：目的探讨不同手术方法治疗梭型细胞分化的恶性潜能未定型子宫平滑肌肿瘤的术后复发情况。方法选取2009年1月1日至2015年12月30日期间在中国人民解放军陆军总医院妇科接受手术治疗,经病理科医师采用同一诊断标准对手术切片再次复核后证实患有梭型细胞分化的恶性潜能未定型子宫平滑肌肿瘤的患者。通过搜集临床资料及术后随访,比较不同手术方式和途径对术后复发率的影响。结果搜集到23位患者,随访时间2.5~69个月,2例(1例行经腹子宫肿物切除术治疗,1例行腹腔镜下子宫肿物切除术治疗)于术后复发。将子宫肿物切除术组和全子宫切除术组以及经腹手术组和腔镜手术组进行Fisher确切概率检验,双侧检验P值均大于0.05。结论尚不能认为采用不同手术方法(全子宫切除术、子宫肿物切除术)及手术途径(经腹、腔镜手术)治疗该肿瘤在术后复发率方面有显著差异,但仍需通过扩大样本量进一步证实。
[Abstract]:Objective to investigate the recurrence of malignant potential uterine smooth muscle tumors with spindle cell differentiation treated by different surgical methods. Methods from January 1st 2009 to December 30th 2015, we selected from the Chinese people's Liberation Army from January 1st 2009 to December 30th 2015 to study the recurrence of uterine smooth muscle tumors. General Army Hospital Gynecology received surgical treatment, By using the same diagnostic criteria, pathologists confirmed the patients with malignant potential uterine smooth muscle tumors with fusiform cell differentiation after reexamination of surgical sections. Clinical data were collected and followed up after operation. The effects of different surgical methods and approaches on the postoperative recurrence rate were compared. Results 23 patients were collected. Two cases were followed up for 2.5 ~ 69 months. One patient underwent abdominal hysterectomy and one patient underwent laparoscopic hysterectomy. The hysterectomy group, the total hysterectomy group and the transabdominal operation group were treated with hysterectomy and total hysterectomy. The exact probability test of Fisher was performed in the endoscopic group. The P values of bilateral tests were all greater than 0.05. Conclusion there is significant difference in the recurrence rate of the tumor treated by different surgical methods (total hysterectomy, hysterectomy) and operative methods (transabdominal, endoscopic surgery). However, it still needs to be further confirmed by expanding the sample size.
【作者单位】：大连医科大学中国人民解放军陆军总医院临床学院;北京市房山区妇幼保健院;安徽医科大学陆军总医院临床学院;中国人民解放军陆军总医院;

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