王军;徐伏兰;潘谷英;

• 1:华中科技大学同济医学院附属孝感医院妇科

摘要(Abstract)：

目的:通过对子宫颈癌术后复发原因的分析,旨在提高宫颈癌病人手术后无瘤存活率。方法:对2000-01²009-12华中科技大学同济医学院附属孝感医院术后复发的子宫颈癌60例进行回顾性分析,了解子宫颈癌术后复发部位、复发时间及术后复发与肿瘤病理和临床治疗方法的关系。结果:60例术后复发患者中,盆腔复发和远处转移分别占80.0%、8.3%,同时有盆腔复发和远处转移占11.7%。最常见的复发部位是盆腔(阴道及宫旁),淋巴结转移者与脉管瘤栓、切缘阳性、宫旁或盆腔脏器受侵者的盆腔复发率分别为72.8%、100.0%,远处转移率分别为54.6%、7.1%。结论:子宫颈癌术后以盆腔复发最为常见,有盆腔淋巴结脉管内转移者易出现远处转移。要提高手术成功率必须做到术前诊断与分期准确、严格掌握手术适应证、进行规范的手术操作以及必要的术前综合治疗。

关键词(KeyWords)： 宫颈癌;高危因素;临床分析

Abstract:

Keywords:

基金项目(Foundation):

作者(Authors): 王军;徐伏兰;潘谷英;

DOI: 10.13799/j.cnki.mdjyxyxb.2011.03.056

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