子宫内膜癌的临床诊治分析

目的：探讨子宫内膜癌的临床特点及处理原则。方法：回顾性分析我院2005年3月至2008年5月收治的46例子宫内膜癌患者的临床资料、诊治经过及随访结果。结果：46例患者存活5年以上者39例，死亡7例，总生存率为84．78％。分期越晚，分级越差，病变范围越广，患者生存率明显下降，预后越差。结论：子宫内膜癌以高分化子宫内膜样腺癌为主，确定手术病理分期、肌层浸润深度、术后适当的辅助治疗（化疗、放疗）是改善子宫内膜癌预后的关键。

Objectives to explore the clinical characteristics and treatment principles of Endometrial cancer. Methods Retrospective analysis clinical data, treatment and follow--up results to 46 cases endometrial cancer of our hospital from March 2005 to May 2008. Results 46 cases of patients survive more than 5 years 39 cases, 7 cases of death, with a total survival rate was 84. 78%. Later stages, grading the worse, the broader the scope of lesions, the patient survival rate decreased significantly. Con- clusions Endometrial cancer in well-- differentiated endometrioid adenocarcinoma , the key of improving the prognosis of endome- trial cancer is to determine the surgical pathological stage, depth of myometrial invasion, postoperative adjuvant therapy for ap- propriate （chemotherapy, radiotherapy）.