年轻宫颈癌患者预后因素分析

Variety of prognosis factors in young patients with cervical cancer

目的研究年轻宫颈癌患者的发病趋势以及影响预后的相关因素。方法回顾性分析年轻宫颈癌患者67例,与同期收治的大于35岁的对照组患者进行比较,分析两组患者的发病趋势、预后以及影响预后的相关因素。结果年轻宫颈癌患者的发病率、复发率明显增高,复发时间明显缩短;无瘤生存期年轻组低于对照组;5年生存率和中位生存期年轻组低于对照组;分析显示,年龄、临床分期、肿瘤大小和淋巴转移因素是影响年轻宫颈癌患者预后的相对独立性因素。结论年轻宫颈癌患者的发病率呈升高趋势;年轻组患者较对照组容易复发而且复发时间早、5年生存率低,预后差。

Objective To study the prevalence, prognosis and prognostic factors of cervical carcinoma under 35 years old. Methods 67 patients under 35 years old were respectively analyzed so as to investigate the difference in trend, prognosis as well as relative factors in two groups after SPSS statistics. 82 patients from 36- 78 years old were used a.s control group in same time. Results The percentage of younger patients in study group was increased gradually. The study group had a higher reoccurring rate, obveriously shorter reoccurring time and lower carcinoma - free period compared to control group. Multivariate analysis showed that age, clinical stage, pelvic lymph node status were relatively independent factors. Conclusion The higher prevalence for younger patients may be connected with patient＇s age, clinical stage, pelvic lymph node status, and it has a earlier reoccurring time, lower 5 - year survivals rate and worse prognosis.