国内原发性阴道癌1033例荟萃分析  

The Meta-analysis of 1033 Cases of Primary Vagina Carcinoma in China

作　　者：岑尧[1] 王少平[1] 任明姬[2] 

机构地区：[1]内蒙古自治区医院妇产科,内蒙古呼和浩特010017 [2]内蒙古医学院组织胚胎学教研室,内蒙古呼和浩特010059

出　　处：《内蒙古医学杂志》2005年第2期122-124,共3页Inner Mongolia Medical Journal

摘　　要：目的 :分析近 2 0多年原发性阴道癌的发病、治疗和预后情况。方法 :检索国内四个数据库及 10余种中文期刊 ,采用循证医学的方法。收集原发性阴道癌的相关文献 ,进行综合荟萃分析。结果 :共纳入 2 1篇文献 ,10 33例 ,得出了其发病率 ,发生部位、组织类型、临床分期、5年生存率及治疗方法及相关数据。结论 :原发性阴道癌以鳞癌为主 81 .5 3% ,Ⅲ、Ⅱ期占大部分 (41. 83+ 38. 5 3) %。总的 5年生存率 5 3 6 8% ,2 0多年来无改观。鳞癌好于腺癌 (P <0 . 0 1)。治疗方式仍以放疗为主 81. 90 % ,放化疗优于单纯放疗。关键是早期发现 ,早期治疗。Objective:To analyse the attact,the treatment and the prognosis of primary vagina carcinoma in China in recently 20 rears.Method:Literatures on primary vagina carcinoma were searched in 4 data bases and more than 10 Chines medical journals by Evidence-Based Medicine,which were mata-analysed.Result:Atotal of 21 articles and 1033 women were collected.The obtain included attack rate,location,tissue tgpe,clinic staging,five year survival rate and method of treatment.Conclusions:Squamous vagina carcinoma was main (81.53%).The stage of Ⅲ and Ⅱ were great parts(41.83%+38.53%),The overall five year survival rate was 53.58%.The change of curative effect were poor.In recently 20 years.The curative effect of squamous vagina carcinoma was high than adenocarcinoma (P<0 01).Radiotherapy was primary treatment Curative effect of radio-chemotherapy was high than that of radio therapy.The key is to find and care them early.

关 键 词：原发性阴道癌 鳞癌 癌放疗 

分 类 号：R737.34[医药卫生—肿瘤]