子宫内膜癌合并子宫腺肌病患者的临床 病理特点及 预后-clinicopathological features and prognosis of endometrial carcinoma with adenomyosis.docxVIP

万方数据 万方数据 目 录 中文摘要········································································································1 英文摘要········································································································3 英文缩写········································································································5 研究论文 子宫内膜癌合并子宫腺肌病患者的临床、病理特点及预后 前言········································································································6 材料与方法····························································································8 结果········································································································11 附图········································································································17 附表········································································································18 讨论········································································································27 结论········································································································36 参考文献································································································37 综述 子宫腺肌病与子宫内膜癌的关系····················································42 致谢················································································································54 个人简历········································································································55 中 中 文 摘 要 PAGE 10万方数据 PAGE 10 万方数据 子宫内膜癌合并子宫腺肌病患者的临床、病理特点及预后 摘 要 目的：通过回顾性分析1584例子宫内膜癌患者的临床、随访资料，比 较合并子宫腺肌病的子宫内膜癌患者与未合并子宫腺肌病的子宫内膜癌 患者的临床、病理特点及预后情况等，探讨合并腺肌病的子宫内膜癌患者 这一群体中相对特殊的临床病理及预后特点，讨论子宫腺肌病是否是影响 子宫内膜癌的预后的相关因素。 方法： 选择2008年1月1日-2014年12月31日期间河北医科大学第四医院妇科 收治的子宫内膜癌患者，所有患者均为初治，经手术治疗，术后病理确诊 为子宫内膜癌，符合标准的患者共1584例。并详细查阅其临床、病理特点 资料，并完善其相关随访资料。建立患者临床、病理、随访资料的Excel 数据库，进行有关合并子宫腺肌病的子宫内膜癌患者临床、病理特点及预 后因素的分析。 使用SPSS16.0统计软件，采用Kaplan-Meier方法估计生存率，log-rank 检验比较各组生存率曲线分布差异，多因素相关分析采