宫颈癌术后死亡病例死因分析  

Analysis of causes of death after cervical cancer operation

作　　者：聂育芳[1] 王培生 刘宽荣[1] NIE Yufang;WANG Peisheng;LIU Kuanrong(The Cancrhospital of Yangcheng,Yangcheng 048100,China)

机构地区：[1]阳城县肿瘤医院,山西阳城048100

出　　处：《临床医药实践》2022年第9期664-666,共3页Proceeding of Clinical Medicine

摘　　要：目的:分析宫颈癌手术后死亡病例的死亡原因。方法:对1980年—2010年经手术治疗宫颈癌患者术后死亡的196例患者的临床资料、治疗方法和随访结果进行回顾性分析。结果:1,3,5,10,15和20年的生存率分别为99.1%,92.4%,89.2%,85.1%,81.7%和79.1%。生存年限最长的37年,年龄达70岁以上者18例,生存年龄最大的89岁。死于食管癌13例,胃贲门癌6例,其他恶性肿瘤9例,心脑血管病18例,其他疾病12例,意外死亡3例,余均为复发转移死亡。单因素分析结果显示:年龄<50岁与≥50岁患者、不同分期、不同术式及手术前后放疗和未放疗的5年生存率比较差异均有统计学意义(P<0.05)。结论:临床分期是影响生存率的主要因素,主要死因是复发转移,其次是其他恶性肿瘤和心脑血管病。Objective:To investigate the causes of death after cervical cancer operation.Methods:The clinical data,treatment methods and follow-up results of postoperative deaths of patients with cervical cancer treated by surgery from 1980 to 2010 were retrospectively analyzed.Results:The survival rates at 1,3,5,10,15 and 20 years were 99.1%,92.4%,89.2%,85.1%,81.7%and 79.1%respectively.The longest survival time was 37 years,18 cases were over 70 years old,and the oldest one was 89 years old.13 cases died of esophageal cancer,6 cases of gastric cardia cancer,9 cases of other malignant tumors,18 cases of cardiovascular and cerebrovascular diseases,12 cases of other diseases,3 cases of other accidental deaths,the rest were recurrence and metastasis deaths.Univariate analysis showed that there were significant differences in the 5-year survival rates of patients<50 years old and≥50 years old,different stages,different surgical methods,radiotherapy and no radiotherapy before and after surgery(P<0.05).Conclusion:The main cause of death was recurrence and metastasis,followed by other malignant tumors and cardiovascular and cerebrovascular diseases.

关 键 词：宫颈癌 手术 死亡原因 分析 

分 类 号：R711.32[医药卫生—妇产科学]