摘要
目的:探讨子宫肉瘤临床特点和预后因素的分析。方法:回顾性分析128例子宫肉瘤患者的临床资料。结果:子宫肉瘤的临床症状不典型,以阴道异常出血为主,预后较差。128例患者总的2年生存率为58.59%,5年生存率为40.63%。在单因素分析中得出年龄、UICC分期、病理类型、化疗是预后生存因素。在多变量分析中得出年龄、UICC分期是独立的预后因素。年轻、分期较早的子宫平滑肌肉瘤患者预后最好。结论:子宫肉瘤的治疗以手术为主,术后辅以化疗放疗。预后与患者年龄、FIGO分期相关。
Objective: To analyze the clinical features and prognostic factors of uterine sarcoma. Methods: 128 cases with uterine sarcoma were analyzed retrospectively. Results: The clinical symptom of uterine sarcoma was nonspecific and the prognosis was poor. The patients usually manifested with abnormal vaginal bleeding, palpable mass of lower abdomen, vaginal discharge. The overall 2- and 5- year survival rates were 58.59% and 40.63%. Age,UICC stage,pathologic type and chemotherapy were stignificant prognostic in dicators in univariate analysis. The prognostic factors based on multivariate analysis were age, UICC stage. The prognosis in the patients with younger and earlier stage was better. Conclusion: The prognosis of uterine sarcoma is significantly related with age, UICC stage.
出处
《天津医科大学学报》
2006年第2期250-252,共3页
Journal of Tianjin Medical University
关键词
子宫肉瘤
病理类型
预后
Uterine sarcoma
Pathologic type
Prognosis