老年妇科恶性肿瘤160例临床分析  

Gynecological malignant tumor of aged women:A report of 160 cases.

作　　者：刘正芬[1] 狄文[2] 

机构地区：[1]上海市闸北区中心医院妇产科,上海200070 [2]上海第二医科大学附属仁济医院

出　　处：《现代妇产科进展》2001年第6期425-427,共3页Progress in Obstetrics and Gynecology

摘　　要：目的 :探讨老年妇科恶性肿瘤的临床特点及防治经验 ,提出有效保健措施。方法 :回顾分析 16 0例老年妇科恶性肿瘤的病历资料。结果 :6 4例宫体癌居首位 ,其次是卵巢癌 6 2例 ,12例宫颈癌为第 3位。 16 0例中 88例 (5 5 % )以阴道出血为主诉就诊 ,90例(5 6 .2 5 % )有内外科合并症。术前合并内外科疾病的肿瘤患者发生术后并发症例数与无合并症者发生的例数之间差异有高度显著性 (P <0 .0 1)。结论 :子宫内膜癌发病率有上升趋势 ;阴道超声及宫腔细胞学联合检查是较好的筛查内膜癌及癌前病变的方法 ;对老年患者术前应积极治疗合并症 ,加强围手术期的处理 ,减少并发症的发生。只要处理得当、在严密监护下老年人几乎可以耐受各种妇科手术。加强妇女保健、开展普查普治是降低妇科恶性肿瘤发病率 。Objective:To investigate the clinical feature,prevention and cure of gynecological malignant tumor of aged women.Methods:A total of 160 aged women with gynecological malignant tumor were analyzed retrospectively.Results: The most common disease was endometral carcinoma,which were found in 64 cases.The second was ovarian cancer(62 cases).The third was cervical cancer(12 cases).The complains of 88 cases among 160 cases were vaginal bleeding.90 cases (56.25%)had complications.Between the patients with complications and patients without complications,a significant difference was found (P<0.01). Conclusions:The incidence of endometrial carcinoma has a rising tendency.The combined use of intra vaginal ultrasound and cytological examination can screen endometrial carcinoma and pre carcinoma.Treatment of complications and intensive peri operation nursing are essential to aged women for successful operations.Intensifying the health care and screening of women are effective to reducing the incidence of gynecological malignant tumor and increasing the cure rate.

关 键 词：老年人 生殖泌尿系统肿瘤 临床特征 防治 

分 类 号：R737[医药卫生—肿瘤]