摘要
目的探讨年轻子宫内膜癌患者的适宜手术范围。方法对39例年龄<45岁的子宫内膜癌患者进行回顾性分析,根据手术方式对病人进行分类,其中行全子宫切除术(保留或不保留卵巢)为Ⅰ组,次广泛或广泛性子宫切除术(行或不行盆腔淋巴解清扫术)者为Ⅱ组,对术后病人进行随访,统计5年生存率,随访时间以月为单位。结果39例随诊率中,5年内存活人数29例,存活率74.35%。结论对于Ⅰ期高分化子宫内膜样腺癌,无深肌层浸润,有较好的随访条件的年轻患者可行全子宫切除术,予以保留单侧或部分卵巢,以提高其生活质量;其他类型者以次广泛或广泛性子宫切除术加盆腔淋巴结清扫术为佳。
Objective To study the suitable operation range of the young patients with endometrial carcinoma. Methods Thirtynine endometrial carcinoma patients underwent operations below 45 years of age who were retrospectively studied for their prognosis. They were divided on the operation fashion into Ⅰ group with hysterectomy and group Ⅱ with hysterectomy plus oophorectomy. Results Thirty-nine cases were followed up and 29 patients were survival for 5 years old. Surival vate was 74. 35%. Conclusion It had hysterectomy for the young patients with stage Ⅰ endometrial carcinoma whom did not spread to muscular, other had hysterectomy with oophorectomy or extensive hysterectomy.
出处
《滨州医学院学报》
2009年第2期120-122,共3页
Journal of Binzhou Medical University
关键词
年轻病人
子宫内膜癌
手术方式
young patients, endometrial carcinoma, operation fashion
