摘要
目的探讨宫颈癌卵巢移位后复发的危险因素,并探讨卵巢移位的适应证。方法对2004年2月至2009年11月67例子宫颈癌手术中同时行卵巢移位术患者的临床资料进行回顾性分析,采用单因素分析卵巢移位后复发的危险因素,并行生存分析。结果 5例(7.5%)复发,其中2例(3.0%)患者发生卵巢转移;经过单因素分析发现,病理类型(P=0.017)和分化程度(P=0.001)是宫颈癌卵巢移位后复发的危险因素。5例复发患者中,4例有脉管内癌栓或淋巴结转移。67例患者的5年生存率为98.4%。结论宫颈癌卵巢移位后复发的危险因素主要是病理类型、分化及脉管内癌栓或淋巴结转移。
Objective To analysis the risk factors of recurrence in patients with cervical cancer after ovarian transposition and to discuss the indication of ovarian transposition.Methods Between Feb 2004 and Nov 2009,67 cases with cervical cancer underwent ovarian transposition.Risk factors for recurrence and survival rate were analysed.Results 5 cases（7.5%） relapsed including 2 cases（3.0%）of ovarian metastasis.Univariate analysis showed that risk factors included pathological type（P=0.017）,differentiation grade（P=0.001）.Due to 4 patients with embolus in vesseles or lymph nodes metastasis recurred,it may be one of the risk factors.The 5 year survival rate was 98.4%.Conclusions The major risk factors of recurrence may be pathological type,differentiation grade and cancer embolus in vesseles or lymph nodes metastasis.
出处
《中国妇产科临床杂志》
2010年第3期191-194,共4页
Chinese Journal of Clinical Obstetrics and Gynecology
关键词
宫颈癌
复发
卵巢移位
适应证
cervical cancer
recurrence
ovarian metastasis
indication
