宫颈癌临床分期与术后病理分析

To Study the Influence of Discordance Between Clinical Staging and Pathological Analysis in Cervical Agnecology Carcinoma.

目的观察宫颈癌临床分期与术后病理学分析结果不符对手术的影响。方法对2000年1月至2006年12月在本院手术治疗的68例宫颈癌手术患者进行统计学分析,比较宫颈癌临床分期与术后病理学分析对手术的影响。结果本组68例患者中,宫颈癌临床分期与术后病理学分析不符为20例,术后病理学分析较临床分期晚,以内生型为主,这些不符病例与相符病例比较,平均手术时间延长、术中出血量增多、术后引流量增多、尿潴留发生率升高、住院时间延长。结论宫颈癌临床分期与术后病理学分析不符对手术有影响。

Objective To study the influence of discordance between clinical staging and pathological analysis in cervical carcinoma. Methods 68 cases of cervical carcinoma in our department were compared the clinical staging and pathological analysis,and analyze its influence on the surgery. Results 20 of the 68 cases showed difference between clinical staging and pathological analysis a all of them were internal growth pattern and the pathological analysis was worse than clinical staging. The operation time, bleeding, urine retention rate and hospitalized time were all increased. Conclusion Discordance of clinical staging and pathological analysis of cervical carcinoma do influence the surgery.