摘要
目的探讨子宫颈癌盆腔淋巴结转移的分布规律及相关高危因素,为指导宫颈癌的个体化治疗提供依据。方法对471例行根治性手术的ⅠA～ⅡB期宫颈癌患者的临床病理资料进行回顾性分析,对淋巴结转移的高危因素采用卡方检验或多元Logistic回归分析。结果 471例宫颈癌患者盆腔淋巴结转移率为19.10%,其中以闭孔淋巴结转移率最高。临床分期、SCCAg>4μg/L、深肌层浸润、宫旁浸润(P<0.05)是影响宫颈癌淋巴结转移的独立危险因素。结论在宫颈癌各组淋巴结转移中,闭孔淋巴结是最易受累的部位。结合临床病理因素,研究影响宫颈癌患者淋巴结转移的相关高危因素,可以为其个体化治疗提供依据。
Objective To explore the features ana nsk factors ot pelvm lympn noae metastasis m cervical cancer, to provide the basis for individual therapy for the patients with cervical carcinoma. Methods Clinical data of 467 cervical cancer patients who underwent radical hysterectomy and bilateral pelvic lymphadenectomy were ana- lyzed retrospectively. The risk factors for pelvic lymph node metastasis were evaluated by the way of univariate 2statsistic analysis and binary logistic regression analysis. Results The incidence of positive pelvic lymph node of the 467 patients was 19.10% with the obturator lymph nodes most involved. Clinical stage, SCCAg 〉4μg/L before treatment, deep stromal invasion and parametrium invasion were the independent risk factors for pelvic lymph node metastasis. Conclusions The obturator lymph node was most often involved of metastasis. Study on risk factors of pelvic lymph node metastasis in cervical carcinoma can provide references for individualized treatment.
出处
《中国妇产科临床杂志》
2013年第3期236-238,共3页
Chinese Journal of Clinical Obstetrics and Gynecology
关键词
子宫颈癌
淋巴结转移
高危因素
cervical carcinoma
lymph node metastasis
risk factors
