宫颈癌病理因素与淋巴结转移的关系

目的分析宫颈癌患者临床病理因素与盆腔淋巴结转移的关系。方法对247例宫颈癌患者的临床及病理资料进行回顾性分析。结果盆腔淋巴结转移73例,占29.6%。盆腔淋巴结转移率与病理分级、临床分期、肿瘤大小、浸润宫颈间质深度有关(P<0.05),与患者年龄及组织类型关系不明显(P>0.05)。结论宫颈癌患者的病例分级、临床分期、肿瘤大小及浸润深度与盆腔淋巴结转移有密切关系,临床对宫颈癌患者进行根治手术治疗时应充分考虑这些高危因素的影响。

Objective To study the relationship of clinical and pathological features of cervical carcinoma with metastasis of pelvic lymph node. Methods Clinical and pathological data of 247 patients with cervical carcinoma was analysed retrospectively. Results There were 73（29.6%） cases of the metastasis of pelvic lymph node. The metastatic rate of pelvic lymph node is related to pathological type, clinical stage, size of tumor, depth of invasive cervix （P〈0.05）. The ages of patients and cell differentiation may be not apparently related to metastasis pelvic lymph node （P〉0.05）. Conclusion Metastasis of pelvic lymph node of cervical carcinoma may be related with pathological type, the clinical stage, size of tumor and depth of invasive cervix. Risk effect of cervical carcinoma should be taken into consideration before operation.