摘要
目的研究分析盆腔淋巴结转移对子宫内膜癌患者的预后情况,为合理性治疗子宫内膜癌提供依据。方法行盆腔淋巴结清扫术35例作为研究组,随机选取同期术中未作淋巴结清扫术12例患者作为对照组;比较分析2组患者淋巴结转移的情况。结果2组患者的年龄、性别比、病理(类型、分级)间比较,差异无统计学意义(P>0.05);2组患者手术范围比较,差异有统计学意义(P<0.01);5.年生存率研究组为77.14%(27/35),对照组为66.67%(8/12),2组比较差异无统计学意义(P>0.05)。盆腔淋巴结转移者的5年生存率低于无淋巴转移者(P<0.01)。结论病理分化程度低、深肌层及宫颈或附件(浸润)、远处转移、腹腔冲洗液细胞学检查阳性是子宫内膜癌盆腔淋巴结转移的高危因素,有盆腔淋巴结转移的患者预后较差。
Objective To analysis the prognostic Value of endometrial carcinoma with lymph node metastases. Methods group 1,35 cases of endometrial carcinoma underwent throughly pelvic lymph node resection; group 2, randomly selected 12 cases of endometrial carcinoma without performing clearance of pelvic lymph nodes. The prognostic results were compared in two groups. Results No significant difference was found in patients＇ age, stage and pathology （classfication, grade）, P 〉 0.05. There was a significant difference in operative region in two groups. The five-year survival rate in two groups were 77.14%（27/35） and 66.67%（8/12） respectively（ P 〉 0.05）.The five-year survival rate in patients with pelvic lymph nodes metastases were significantly lower than those without pelvic lymph node metastases （ P 〈 0.01 ）. Conclusion The pelvic lymph noed metastases is closely related to pathological grade, invasive deep degree in myometrial, cervix, annexa and remote metastases. The patients with pelvic lymph node metastases have a poor prognosis.
出处
《河北医药》
CAS
2008年第4期440-441,共2页
Hebei Medical Journal
关键词
子宫内膜肿瘤
盆腔淋巴结转移
预后
carcinoma of endometrium
lymph node transfers prognosi
prognosis
