不同年龄子宫颈癌临床的的特点分析.docVIP

不同年龄子宫颈癌临床的的特点分析 　　【摘要】 目的 探讨不同年龄子宫颈癌的临床特点。方法 对2003年1月至2008年12月间中山大学附属第三医院收治的116例子宫颈癌病例进行回顾性分析,其中≤35岁组13例,35岁组103例,比较两组的临床特点。结果 ≤35岁组0-Ia期、Ib-IIa期、IIb-III期、IV期所占比例分别是46.2%、30.7%、23.1%、0.0%,35岁组0-Ia期、Ib-IIa期、IIb-III期、IV期所占比例分别是11.6%、33.9%、40.8%、14.7%,两组比较差异有统计学意义(P35岁组鳞癌,腺癌,腺鳞癌的比例分别是91.3%、5.8%、2.9%,两组比较差异有统计学意义(P35岁组(12.6%)(P35岁组两组在组织学分级、宫颈肌层浸润、宫旁浸润方面比较,差异均无统计学意义(P0.05)。≤35岁组的平均生存时间为(45.7±2.5)月,35岁组的平均生存时间为(39.1±2.2)月,两组的生存曲线比较差异无统计学意义(P0.05)。结论 年轻宫颈癌患者的临床分期以早期癌为主,腺癌、腺鳞癌的比例高,更易发生盆腔淋巴结转移,预后与35岁者相似。 　　【关键词】 子宫颈癌;年龄;临床特点 　　 　　Analysis of the clinical characteristics of cervical cancer patients with different age. 　　 　　YANG Yue-bo,ZENG Hai-Tao,TANG Hong. 　　Department of Obstetric and Gynecology, the ThirdAffiliated Hospital, Sun Yat-sen University,Guangzhou 510630, China 　　 　　【Abstract】 Objective To study the clinical characteristics of cervical cancer patients with different ages. Methods The clinical characteristics of 116 cervical cancer cases, ≤ 35-year-old group of 13 cases and 35-year-old group of 103 cases, were retrospectively analyzed, which were admitted from January 2003 to December 2008 in our hospital. Results There were statistically difference in clinical stage between the proportionof 0-Ia (46.2%)、Ib-IIa (30.7%)、IIb-III(23.1%)、IV (0.0%) in 35 years group(P35 years group(P35 years group(P0.05). No difference of survival curves was observed between two groups, the average survival time was(45.7±2.5)months in 35 years group (P0.05). Conclusion early clinical stage mainly in young cerrical cancer patients, higher rate of lymph metastasis and high proportion of adenocarcinoma and adenosquamous carcinoma, but having similar average survival time with the aged patients. 　　【Key words】 Cervical cancer; Age; Clinical characteristics 　　 　　作者单位:510630 广州,中山大学附属第三医院妇科(杨越波 曾海涛);广东省中医院(唐虹) 　　 　　子宫颈癌是女性生殖道常见三大恶性肿瘤之一,发病率仅次于乳腺癌,居于女性恶性肿瘤第二位。近年年轻妇女宫颈癌的发病有增高趋势,35岁宫颈癌患者占同期宫颈癌总数的15.6%左右[1]。本文通过对既往收治的子宫颈癌进行回顾性分析,探讨不同年龄子宫颈癌的临床特点。 　　1 临床资料 　　1.1 一般资料 　　收集2003年1月至