摘要
本文报道从1965年1月至1990年12月间74例经随访五年以上的子宫肉瘤的治疗效果，并就其临床相关的预后因素进行分析。全组总的五年生存率为43．2％，按五年生存率，病灶局限于子宫者为50％，超出于宜者为14．3％（P＜0．05）；广泛全宜切除者为52．9％，全宫附件切除者为607％（P＞0．05），次全宫切除者为33．3％，单纯肿瘤切除为0（P＜0．05）；几术后佐以动脉灌注化疗者，较全身或加腹腔化疗者的五年生存率高，各为73．3％和37．3％（P＞0．05）。化疗疗程不少于五疗程者较少于五疗程者高，各为84．2％和28．2％（p＞0．01）
Sevnty-four patients with uterus sarcoma were treated by surgery. All of them were followed-up over 5 years. The overall 5-year survival rates were 43. 2%. 5-year survival rate is related to following factors. As lesion confined to uterus, 5-year survival rate is 50%,If beyond it, which is 14, 3% (p<0. 05 ); Generaliged total hysterectomy, hysterectomy and subtotal hysterectomy were 52. 9 %, 60. 7 % and 33. 3 %, respetively. If intrartery chemotherapy, systematic or intraperitoneal after operation is given, 5-year survival rates were 84. 2 %and 28. 2 %, respectivey- therefore, the prognostic factors were related to the extent of lesion, operative procedure, adjuvant chetnotherapy,etc.
