82例子宫内膜癌复发的高危因素分析

82 cases of endometrial cancer risk factors of recurrence

目的探讨子宫内膜癌复发的高危因素并进行分析。方法本院2000年1月至2005年1月收治的子宫内膜癌患者82例进行定期随访，对复发和未复发进行高危因素的分析和探讨。结果82例子宫内膜癌患者中复发26例，总复发率31．7％。单纯手术组26例，局部复发14例，复发率53．84％；远处复发9例，复发率34．61％。手术＋综合治疗组56例，局部复发9例，局部复发率16．07％；远处复发10例，远处复发率17．285％。结论子宫内膜癌复发的高危因素进行总结，复发与临床期别、组织学分级、肌层浸润、盆腔及腹主动脉旁淋巴结转移和腹腔细胞学检查阳性等有着密切关系。首次治疗方法对患者的生存率有较大的影响。

Objective To investigate the recurrence of endometrial cancer risk factors and analysis. Methods The hospital in January 2000 in January 2005 year admitted 82 cases of endometrial cancer patients for regular follow-up, the recurrence and non-recurrence risk factors carried out the analysis and discussion. Restilts 82 patients with endometrial cancer,26 cases of recurrence, the total recurrence rate was 31.7% recurrence rate. Surgery alone group, 26 cases of local recurrence in 14 cases, recurrence rates were as follows： 53.84% ; distant recurrence in 9 cases,the recurrence rate rates were as follows： 34. 61%. Surgical ＋ combined treatment group 56 cases ,9 cases of local recurrence,local recurrence rate was 16. 07 % ; 10 cases of distant recurrence,distant recurrence rate of 17. 285%. Conclusion The recurrence of endometrial cancer risk factors to sum up, recurrence and clinical stage, histological grade, myometrial invasion, and pelvic and abdominal para-aortic lymph node metastasis and peritoneal cytology-positive and other closely related. Treatment right the first time, the survival rate of patients with a greater impact.