青年宫颈癌和中老年宫颈癌患者临床症状与病理特征分析  

Analysis on the Clinical Symptoms and Pathological Features of Cervical Cancer of Young Patients and Middle-Aged and Elderly Patients

作　　者：吴小容[1] 杨文静[1] 

机构地区：[1]湛江中心人民医院妇科,广东湛江524000

出　　处：《临床医学工程》2016年第11期1491-1492,共2页Clinical Medicine & Engineering

摘　　要：目的探讨青年宫颈癌和中老年宫颈癌的临床症状和病理特征以及预后状况。方法选取我院2010年1月至2015年1月收治的80例宫颈癌患者分为两组:A组为青年宫颈癌患者(30例),B组为中老年宫颈癌患者(50例)。对比分析两组患者的临床资料。结果 A组的接触性出血及月经紊乱、白带异常的发生率分别为63.33%、80.00%,显著高于B组的22.00%、14.00%(P<0.05);A组的不规则阴道出血发生率为16.67%,显著低于B组的58.00%(P<0.05);两组的腰部酸疼发生率比较差异无统计学意义(P>0.05)。A组的病理非鳞癌发生率为63.33%,显著高于B组的40.00%(P<0.05)。两组的生存率比较差异无统计学意义(P>0.05)。结论青年宫颈癌患者的临床症状以接触性出血及月经紊乱、白带异常为主,且非鳞癌的发生率较高。与中老年宫颈癌相比,青年宫颈癌患者的生存率有下降趋势,但是并不成为主要不利因素。Objective To explore the clinical symptoms, pathological features and prognosis of cervical cancer of young patients and middle-aged and elderly patients. Methods A total orS0 cases of patients with cervical cancer admitted to our hospital from January 2010 to January 2015 were selected and divided into two groups, with young patients with cervical cancer in group A （30 cases） and middle-aged and elderly patients with cervical cancer in group B （50 cases）. The clinical data of patients were analyzed and compared between two groups. Results The incidence of contact bleeding and menstrual disorder, abnormal leucorrhea of group A were respectively 63.33% and 80.00%, significantly higher than 22.00% and 14.00% of group B （P〈0.05）. The incidence of irregular vaginal bleeding of group A was 16.67%, significantly lower than 58.00% of group B （P〈0.05）. No statistical difference was found in the incidence of waist ache between two groups （P〉0.05）. The incidence of non squamous cell carcinoma was 63.33%, significantly higher than 40.00% of group B （P〈0.05）. No statistical difference was found in the survival rate between two groups （P 〉0.05）. Conclusions The main clinical symptoms of cervical cancer in young patients are contact bleeding and menstrual disorders, abnormal leucorrhea, with higher incidence of non squamous cell carcinoma. Compared with the middle-aged and elderly patients with cervical cancer, the survival rate of young patients with cervical cancer tends to decrease, but does not become a major disadvantage.

关 键 词：宫颈癌 临床资料 分析 

分 类 号：R737.33[医药卫生—肿瘤]