摘要
目的探讨不同病理类型宫颈癌患者根治术后的复发及预后情况,以及影响其复发和预后的因素。方法采用回顾性队列研究选取2013年6月—2016年6月该院收治的89例不同病理类型的做宫颈癌根治术的宫颈癌患者作为研究对象,分析其术后复发及预后情况,以及影响其的危险因素。结果术后总复发率为14.61%,经统计学检验得鳞癌和腺癌复发率的差异有统计学意义(P<0.05),5年总存活率为79.78%,经检验得不同病理类型5年生存率差异有统计学意义(P<0.05);且经单因素分析,影响其预后的原因包括临床分期、有无脉管瘤栓及盆腔淋巴结转移这3个因素。结论宫颈腺癌患者根治术后复发率高于鳞癌患者,宫颈鳞癌患者根治术后5年存活率高于腺癌患者,且临床分期、有无脉管瘤栓及盆腔淋巴结转移3个因素影响患者的复发和预后情况。
Objective To discuss the recurrence and risk factors of different pathological types of cervical cancers after the radical correction and influence factors of recurrence and prognosis. Methods 89 cases of patients with cervical cancer radical correction of different pathological types from June 2013 to June 2016 were selected as the research objects and the postoperative recurrence, prognosis and other influence factors were analyzed. Results The total recurrence rate after operation was 14.61%, the statistical test showed that the differences in the recurrence rate of squamous cell carcinoma and adenocarcinoma had statistical significance （P〈0.05）, the 5-year survival rate was 79.78%, and the difference in the 5-year survival rate between different pathological types had statistical significance （P〈0.05）, and the single-factor analysis showed that the prognosis influence factors included the clinical staging, blood vessel invasion and pelvic cavity lymphatic metastasis. Conclusion The recurrence rate of patients with adenocarcinoma of the uterine cervix after the radical correction is higher than that of patients with squamous cell carcinoma, and the 5-year survival rate of patients with squamous carcinoma of the cervix after the radical correction, and the clinical staging, blood vessel invasion and pelvic cavity lymphatic metastasis are the influence factors of recurrence and prognosis of patients.
出处
《系统医学》
2017年第5期4-6,13,共4页
Systems Medicine
关键词
鳞癌
腺癌
复发率
5年生存率
危险因素
Squamous cell carcinoma
Adenocarcinoma
Recurrence rate
5-year survival rate
Risk factor
