老年妇科恶性肿瘤78例诊疗分析

Diagnosis and Treatment of 78 Cases of Senile Gynecologic Malignant Tumor

【目的】探讨老年妇科恶性肿瘤患者的临床特点及诊治经验。【方法】对78例老年妇科恶性肿瘤（观察组）的临床资料进行回顾性分析，并与同期手术住院的96例老年子宫肌瘤（对照组）进行对照。【结果】观察组恶性肿瘤的前三位分别是卵巢癌26例（占33．3％），宫颈癌25例（占32．1％），子宫内膜癌17例（占21．8％）；其术中出血量、输血量、手术持续时间及术后住院时间均高于对照组，两组比较差异有显著性（P〈0．05）。【结论】老年妇科恶性肿瘤以卵巢癌、子宫内膜癌和宫颈癌为主，较良性肿瘤而言需要更完善的围术期处理方能安全渡过手术危险期。

[Objective] To explore the clinical characteristics, diagnosis and treatment experience of gynecological cancer in the elderly. [Methods]The clinical data of 78 senile patients with gynecologic cancer（observation group） were analyzed retrospectively. And 96 patients with hysteromyoma hospitalized in the same period（control group） was compared with the observation group. [Results] The first three gynecological cancers in observation group were ovarian cancer（26 cases, 33.3%）, cervical carcinoma（25 cases, 32. 1%） and endometrial cancer（17 cases, 21.8%）, respectively. The bleeding volume, amount of blood transfusion, operation time and length of stay in observation group were all higher significantly than those in control group（ P〈0.05）. [Conclusion] Ovarian cancer, cervical ＇carcinoma and endometrial cancer are the main types of gynecological cancers in the elderly, which require more perfect management during operation than benign tumor to help the patients go through the critical period.