291例子宫颈癌临床病例回顾性分析

Retrospective analysis of the 291 cases of cervical cancer

目的回顾性分析我院291例子宫颈癌的临床病例资料,以探讨近期子宫颈癌的临床特点及治疗方法。方法回顾性分析我院2003年1月至2007年5月诊断子宫颈癌291例,分析患者的发病年龄、临床分期、治疗方式、术后组织病理诊断结果及术后随访结果。结果患者平均年龄38.88±8.20岁,中位数年龄为38岁。年轻宫颈癌(≤35岁)的构成比37.5%。随着患者临床分期增加,患者的平均年龄也增加,I期、III期患者的平均年龄有显著性差异(P=0.003)。275例患者中,仅2例患者未行手术,其余患者均经手术治疗。52例保留生育功能的手术患者,目前随访至今无一例患者复发。结论子宫颈癌妇女发病年龄的年轻化趋势。对年轻的早期浸润性子宫颈癌患者采取保留生育功能的的手术治疗方法是可能的。

Objective To retrospectively analyze of the clinical data of 291 cases of cervical cancer in our hospital, and to investigate the clinical character and treatment of cervical cancer in recent years. Methods Retrospective analysis of the clinical data of 291 cases of cervical cancer in our hospital from January 2003 to May 2007 , including the patents＇ age, clinical stage, treatment, pathological diagnosis after surgery,the results of following-up. Results The average age of cervical cancer was 38.88 ± 8.20 years,the median age was 38 years. The ratio of patients＇ age （≤35years）was 37.5%. As the clinical stage increased,the average age increased,the age of stage Ⅰ cervical cancer had significant difference with the age of stage Ⅲ （P=0.003）.Except 2 patients,all the other patients treated with surgeries. We followed up the 52 patients treated by fertility-preserving surgeries, all the 52 patients have not recurrent up to now. Conclusion The trend of the morbidity age of cervical cancer is becoming younger; It is possible to treat the young early stage invasive cervical cancer by fertility-preserving surgeries.