子宫颈癌复发因素及部位探讨

Analysis of the recurrent causes for postoperative patients with uterine cervical carcinoma

目的 :探讨子宫颈癌复发的因素及部位。方法 :对86例术后复发的子宫颈癌进行回顾性分析 ,了解术后复发的因素及部位。结果 :86例术后复发患者中 ,盆腔复发和远处转移分别占72.1 %和27.9 % ,淋巴结转移者盆腔复发为68.6 % ,远处转移为73.9 %。切缘阳性、宫旁或盆腔脏器受侵者盆腔复发为100 %、远处转移分别为8.3 % ,而其它患者盆腔复发和远处转移分别为98.0 %和16.0 %。最常见的复发部位为阴道(52.3 %) ,其次为宫旁(13.9 %)。结论 :子宫颈癌复发除与淋巴结转移、切缘阳性和宫旁或盆腔脏器受侵有关外 ,应重视其它不良因素对预后的影响。复发部位多在盆腔内 ,尤其是阴道复发最常见。

Objective:To study the causes of postoperative recurrence of early stage uterine servical carcinoma.Methods:To analyse retrospectively the postoperative recurrence of86cases with servical carcinoma,and to observe the relationship between postoperative reˉcurrence and pathology of tumors and clinical treatments.Results:Pelvic recurrence and disˉtant metastasis accounted for72.1%and27.9%respectively among86postoperative recurˉrent cases.The pelvic recurrence and distant metastasis for the cases with node metastasis and the cases with vascular space involvement,positive stump,parametritim or pelvic organs involved were68.6%and100.0%,73.9%and8.3%respectively.They were98.0%and16.0%for other cases.The most common place of recurrence was vagina(52.3%),the secˉond was parametrium(13.9%).Conclusion:The most common place of recurrence for opˉerated servical carcinoma patients are pelvic,especially the vagina.Apart from node metastaˉsis,vascular space involvement,non-squamous epithelial carcinoma and positive sttimp.