58例子宫内膜腺癌临床病例分析  

Clinical Analysis of 58 cases with endometrial carcinoma

作　　者：王彦[1] 徐雅会[1] 

机构地区：[1]天津静海医院,天津301600

出　　处：《吉林医学》2015年第18期4055-4056,共2页Jilin Medical Journal

摘　　要：目的:分析绝经前后子宫内膜腺癌的高危因素、病理特点,为年轻患者保留生育功能的治疗方案提供参考依据。方法:分析58例子宫内膜腺癌患者,总结其临床病理特点,根据是否绝经分组,未绝经组18例,(其中<45岁组16例,未婚2例),绝经组40例。结果:两组比较,高危因素中高血压和糖尿病有统计学意义(P<0.05);组织分化级别、肌层浸润有统计学意义(P<0.05)。结论:绝经前的子宫内膜癌患者其发病相关因素较绝经后少,组织分化程度高。因此,早期诊治疗子宫内膜癌患者可以提高其生存率,年轻子宫内膜癌患者其分化程度高,Ia期患者可考虑保留生育功能。Objective To investigate high risk factors,pathological features,provides the reference for the young patients with preserved fertility treatment. Method Retrospective analysis of 58 cases of endometrial adenocarcinoma patients,They were divided into two groups accordoing to whether menopausal. 18 cases in the non menopausal group（16 cases in less than 45 year old group,unmarried 2 cases）,40 cases in the menopausal group. Results Hypertension、diabetes、Pathological grading,myometrial invasion of the non menopausal group and menopausal groupwere statistically significant（P ﹤ 0. 05）. Conclusion The related factors of disease and the degree of differentiation and tissue of premenopausal endometrial carcinoma patients was less and higher than postmenopausal,respectively. Early diagnosis and treat-ment of endometrial cancer patients can improve the survival rate of young patients with endometrial cancer,,Ia stage can be considered to preserve fertility function.

关 键 词：子宫内膜癌 高危因素 早期诊断 保守治疗 

分 类 号：R737.33[医药卫生—肿瘤]