宫颈癌术后盆腔淋巴结转移的影响因素分析  

Analysis on the Influencing Factors of Pelvic Lymph Node Metastasis After Cervical Cancer Surgery

作　　者：段晓怡 王真真 王莹[1] 郭风先[1] DUAN Xiaoyi;WANG Zhenzhen;WANG Ying;GUO Fengxian(Department of Gynecology and Breast Surgery,the First Affiliaied Hospital of He'nan University of Science and Technology,Luoyang 471000,China)

机构地区：[1]河南科技大学第一附属医院妇科乳腺外科,河南洛阳471000

出　　处：《临床医学工程》2022年第2期273-274,共2页Clinical Medicine & Engineering

摘　　要：目的分析宫颈癌术后盆腔淋巴结转移的影响因素。方法回顾性分析2018年9月至2020年9月在我院行宫颈癌根治术的108例患者的临床资料,根据术后盆腔淋巴结转移发生情况分为发生组和未发生组,采用单因素分析与Logistic回归分析探讨宫颈癌术后盆腔淋巴结转移的影响因素。结果108例宫颈癌患者术后盆腔淋巴结转移发生率为21.30%。发生组的肿瘤直径≥4cm.病理类型为腺癌、脉管浸润比例均显著高于未发生组(P<0.05)。Logistic回归分析显示,肿瘤直径≥4 cm、病理类型为腺癌、脉管浸润均为宫颈癌术后发生盆腔淋巴结转移的危险因素(OR>1,P<0.05)。结论肿瘤直径≥4 cm、病理类型为腺癌、脉管浸润为宫颈癌术后发生盆腔淋巴结转移的危险因素。Objective To analyze the influencing factors of pelvic lymph node metastasis after cervical cancer surgery.Methods The clinical data of 108 patients with radical surgery of cervical cancer in our hospital from September 2018 to September 2020 were analyzed retrospectively.According to the occurrence of postoperative pelvic lymph node metastasis,all cases were divided into the occurrence group and the non-occurrence group.Single factor analysis and Logistic regression analysis were used to explore the influencing factors of pelvic lymph node metastasis after cervical cancer surgery.Results The incidence of postoperative pelvic lymph node metastasis in 108 patients with cervical cancer was 21.30%.The proportions of tumor diameter ≥ 4 cm,pathological type of adenocarcinoma and vascular invasion in the occurrence group were significantly higher than those in the non-occurrence group(P<0.05).Logistic regression analysis showed that tumor diameter ≥ 4 cm,pathological type of adenocarcinoma and vascular invasion were risk factors for the occurrence of pelvic lymph node metastasis after cervical cancer surgery(OR>1,P<0.05).Conclusions Tumor diameter ≥ 4 cm,pathological type of adenocarcinoma and vascular invasion are risk factors for the occurrence of pelvic lymph node metastasis after cervical cancer surgery.

关 键 词：宫颈癌 盆腔淋巴结转移 影响因素 

分 类 号：R737.33[医药卫生—肿瘤]