宫颈癌188例临床特点分析  

Clinical analysis of 188 cases with cervical cancer

作　　者：樊庆春[1] 李佩玲[1] 王红丽[1] 

机构地区：[1]哈尔滨医科大学附属第二医院妇产科,黑龙江哈尔滨150086

出　　处：《现代医学》2013年第5期341-343,共3页Modern Medical Journal

摘　　要：目的:探讨宫颈癌的发病趋势、高危因素、临床病理特点、淋巴结转移情况,总结宫颈癌的发病特点,为宫颈癌的预防和早期诊治提供依据。方法:选择哈尔滨医科大学附属第二院2006年1月至2011年12月收治的188例经病理确诊并行手术治疗的宫颈癌患者为研究对象,根据患者的年龄分为≤35岁组、>35岁组两组,从孕产次及临床表现等方面进行比较分析;对188例宫颈癌患者进行病理特点、分期及淋巴结转移情况的总结。结果:(1)宫颈癌发病率上升且发病年龄有年轻化趋势,原因可能与宫颈癌患者的孕产次多有密切关系;(2)年轻宫颈癌患者症状以接触性出血为主要表现,体征以菜花型为主要类型;(3)宫颈癌患者的病理类型仍以鳞癌占绝大多数,分期以Ⅰ期患者为多,淋巴结转移以闭孔及髂血管旁淋巴结为主。结论:目前宫颈癌的发病人数上升且呈年轻化趋势,因此应重视宫颈癌的普查工作,尤其是对年轻女性,提高人们的筛查意识,降低宫颈癌的发病率并提高宫颈癌的早诊、早治率。Objective： To investigate the cervical cancer incidence trends, risk factors, clinical pathology, lymph node metastasis, summed up the characteristics of cervical cancer incidence, to provide the basis for cervical cancer prevention and early diagnosis and treatment. Methods： The Second Affiliated Hospital of Harbin Medical University from January 2006 to December 2011, 188 cervical cancer patients confirmed by pathology and operative treatment as the research object. According to the age, the patients were divided into two groups, namely, ~〈35 years old group, 〉 35 years old group. Times of gestation and clinical manifestations were compared and analyzed. In 188 cases of cervical cancer patients, the pathological features, staging and lymph node metastasis were summarized. Results： The incidence of cervical cancer and age of onset were rising young tendency, it might be associated with times of gestation of cervical cancer patients; In the young cervical cancer patients, the chief complaint was contact bleeding, signs with cauliflower type were the main types; The pathological types of cervical cancer patients were mainly squamous carcinoma, staging in patients with type I , the obturator and lymph nodes near iliac blood vessels were the main positions for metastasis. Conclusion： At present, cervical cancer incidence is rising and appears the young tendency, so more attentions should be paid to cervical cancer census work,especially for young women, to improve people＇s screening awareness, to reduce the incidence of cervical cancer and improve the early diagnosis of cervical cancer, early treatment rate.

关 键 词：宫颈癌 临床特点 病例分析 

分 类 号：R737.33[医药卫生—肿瘤]