子宫内膜癌337例患者临床特征分析.docVIP

子宫内膜癌337例患者临床特征分析 　　【摘要】 目的：探讨子宫内膜癌合并症的发生对子宫内膜癌治疗和预后的影响。方法：选取2005年8月-2013年7月在本院住院治疗，伴各种合并症的166例子宫内膜癌患者（合并症组）的临床资料与同期无合并症的171例子宫内膜癌患者（对照组）进行比较，进行回顾性分析。结果：子宫内膜癌常见的合并症为肥胖132例、高血压病107例、糖尿病57例；子宫内膜癌合并症组与对照组在是否接受手术治疗、患者手术范围、术后肿瘤病理分期和肿瘤病理类型比较，差异无统计学意义（P0.05）。子宫内膜癌合并症组年龄明显大于对照组，接受放化疗的例数比对照组多，且患有合并症的患者预后差，两组比较差异有统计学意义（P0.05）。结论：子宫内膜癌患者常合并高血压病、糖尿病、冠心病等，随着年龄增加，合并症发生机率增加，合并症对子宫内膜癌的治疗存在一定影响，对预后有明显影响。 　　【关键词】 子宫内膜癌； 合并症； 病理类型 　　Analysis on the Endometrial Cancer of 337 Patients with Clinical Features/WU Yan-zhen，QIN Fu-jie，LI Yu-xiang，et al.//Medical Innovation of China，2015，12（16）：141-143 　　【Abstract】 Objective：To discuss the endometrial cancer treatment effects and prognosis investigate the incidence of complications.Method：From August 2005 to July 2013 in our hospital，166 patients of endometrial carcinoma with a variety of complications were selected as the comorbidity group，clinical data with the same period of 171 patients with uncomplicated endometrial cancer were selected as the control group，then they were compared and retrospectively analyzed.Result：Endometrial cancer of common complication were obesity of 132 cases，hypertension of 107 cases，and diabetes of 57 cases ； comorbidity group and the control group compared with surgery，extent of surgery patients，postoperative tumor staging and histological type，the differences were not statistically significant（P0.05）.Comorbidity group was significantly older than the control group，the number of patients to receive chemotherapy higher than the control group，comorbidity group has a significant effect on the prognosis，the difference was statistically significant（P0.05）.Conclusion：Patients with endometrial cancer are often associated with obesity，hypertension and diabetes，with age increases，the incidence of complications increased，comorbidities is a certain impact on the treatment of endometrial cancer，has a significant effect on the prognosis. 　　【Key words】 Endometial carcinoma； Complication； Pathological classification