子宫次全切术后宫颈残端癌的发病情况及临床病理特征分析  

Incidence and Clinical Characteristics of Cervical Stump Cancer after Subtotal Hyster Ectomy

作　　者：韩云清 汪爱兵[2] HAN Yunqing;WANG Aibing(Nanyang Zhang Zhongjing Hospital,Nanyang,47300)

机构地区：[1]河南省南阳市张仲景医院,473000 [2]河南省南阳市中心医院,473000

出　　处：《实用癌症杂志》2018年第7期1194-1195,1198,共3页The Practical Journal of Cancer

摘　　要：目的探讨子宫次全切除术后宫颈残端癌的临床病理特征及发病情况。方法回顾性分析80例子宫次全切除术后宫颈残端癌患者的年龄、病理类型和临床表现的情况。结果患者子宫次全切除术后宫颈残端癌容易发生的年龄为29~68岁,年龄分布呈单峰状,高峰年龄在40~49岁期间,平均年龄为(50.5±1.3)岁,患者年龄构成差异具有统计学意义(P<0.05);患者术后病理组织类型的构成比中,鳞癌占82.5%,最为常见,患者术后病理组织构成差异具有统计学意义(P<0.05);患者术后临床表现的主要症状是不规则阴道流血、接触性出血、阴道排液,还有一部分表现为腹痛腹胀等其他临床症状,患者术后临床表现情况差异具有统计学意义(P<0.05)。结论宫颈残端癌发病高峰年龄40~49岁,临床表现以阴道流血为主,病理类型以鳞癌多见。Objective To study the clinicopathological features and morbidity of cervical stump cancer after subtotal hysterectomy. Methods The age,pathological type and clinical manifestation of 80 cases of cervical stump cancer after subtotal hysterectomy were analyzed. Results Patients with cervical stump cancer after subtotal hysterectomy prone to the age of 29 to 68,the age distribution showed a single peak shape,peak at the age of 40 and 49,the average age was 50.5±1.3,There had a statistically significant difference（ P 〈0.05）;Postoperative pathological types was the most common in squamous cell carcinoma,accounting for 82.5%.The difference was statistically significant（ P 〈0.05）;Main clinical symptoms were irregular vaginal bleeding,contact bleeding,vaginal discharge,and abdominal pain and other clinical symptoms.There had significant differences（ P 〈0.05）. Conclusion The incidence of cervical stump cancer is 40~49 years old,the clinical manifestation is mainly vaginal bleeding,and the pathological type is squamous cell carcinoma.

关 键 词：宫颈残端癌 子宫次全切除术 病理类型 临床表现 

分 类 号：R737.33[医药卫生—肿瘤]