实例不同手术方式对_期子宫内膜癌患者生存及复发的影响.pdf

90 2002 2 37 2 Chin J Obst et Gynecol, Feb ua y 2002, Vol. 37, No. 2 高劲松 沈铿 郎景和 黄惠芳 吴鸣 潘凌亚 1986~ 1996 110 , 3 , + A ( 54 ) ; B ( 14 ) ; + ( ) + C ( 42 ) , 3 ABC 3 5 895% 905% 951% , 3 , ( P 005) 2 71 9 , 127% ; 9 7 3 , 8 , 5 ; A BC 3 139% 91% 125% , 139% 91% 83% , 28% 91% 125% , , ( P 005) , , ; ; ; , Influence of surgical methods on survival and recurrence of stage endometrial carcinoma GAO Jinsong, SHEN Keng, LANG Jinghe, H UANG H ufi ang , WU Ming, PAN Lingya Department of O stetrics and Gy necology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Bejiing 100730, China Abstract Objective To dete mine the influence of diffe ent su gical p ocedu e on postope ative su vival ate and ecu ence of stage endomet ial ca cinomaMethods F om 1986 to 1996, 110 patients with stage endomet ial ca cinoma su gically t eated in ou hospital we e studied et ospectivelyThey we e devided into th ee g oups, including total hyste ectomy plus bilate al salpingooopho ectomy ( g oup A) , adical o modified adical hyste ectomy ( g oup B) and total hyste ectomy plus bilate al salpingooopho ectomy o adical hyste ectomy o modified adical hyste ectomy+ pelvic lymphadenectomy ( g oup C) Su vival and ecu ent ates we e analysed acco ding to thefollowup data Results Fiveyea su vival ate of the th ee g oups a e 895% , 905% and 951% espectively( P 005) Of the 71 cases followed up fo mo e than two yea s, 9 elapsedThe ecu ent ates we e 127%Seven elapsed within th ee yea s afte ope ationEight patients had local ecu ence and 5 had distant metastasisRecu ent ates of th ee g oups a e 139% , 91% and 125% ( P 005) , local ecu ent ates a e 139%