年轻妇女宫颈癌34例临床分析  

Clinical analysis of 34 young women with cervical carcinoma

作　　者：于晓伟[1] 张松灵[1] 费君伟[1] 林秀英[1] 

机构地区：[1]吉林大学第一医院妇产科,吉林长春130021

出　　处：《中国妇幼保健》2010年第3期335-337,共3页Maternal and Child Health Care of China

基　　金：国家自然科学基金资助(30901589)

摘　　要：目的:分析年轻妇女宫颈癌的临床病理特征和治疗特点。方法:对2004年1月～2009年3月收治的34例年轻宫颈癌患者的临床资料进行回顾性分析,以同期收治的35岁以上宫颈癌患者253例作为对照组,分析两组患者的临床表现、病理特征和淋巴结转移情况及治疗特点。结果:35岁以下宫颈癌的比例高达11.8%,研究组临床表现以接触性出血为主(P<0.05),组织学分级中低分化比例较对照组高但无统计学差异(P>0.05),临床分期、病理学类型及淋巴结转移与对照组差异无统计学意义(P>0.05)。结论:宫颈癌有年轻化趋势,接触性阴道流血为年轻妇女宫颈癌的危险信号。临床分期、病理学类型及淋巴结转移均与年龄无关,年轻宫颈癌治疗时应注意保留患者的卵巢功能。Objective： To analyze the clinicopathological characteristics and therapeutic characteristics of cervical carcinoma in young women. Methods： Clinical data of 34 young women with cervical carcinoma （study group） from January 2004 to March 2009 were analyzed retrospectively, 253 women with cervical carcinoma over 35 years were selected as control group, clinical manifestations, pathological characteristics, lymphatic metastasis and therapeutic characteristics in the two groups were compared. Results： The percentage of cervical carcinoma in young women increased to 11.8%. In study group, contact bleeding was the major clinical manifestation （P 〈 0. 05 ）, there was no significant difference in histological grade, clinical staging, pathologic types and lymphatic metastasis between study group and control group （P 〉 0. 05 ） . Conclusion ： The prevalence of cervical carcinoma tends to be younger. Attention should be paid to the young women with contact bleeding, which is a dangerous signal of cervical carcinoma, there is no correlation between clinical staging, pathologic types, lymphatic metastasis and age, ovarian function of young women with cervical carcinoma should be kept during operation.

关 键 词：子宫颈癌 回顾性研究 年轻妇女 

分 类 号：R737.3[医药卫生—肿瘤]