56例年轻宫颈癌临床特点及合理治疗分析

Analysis of clinical features and rational treatment in 56 young cases of cervical cancer

目的分析年轻妇女宫颈癌(35岁以下年轻妇女宫颈癌)的发病趋势、临床病理特点、治疗措施及预后。方法对56例年轻宫颈癌患者的临床资料、病理学诊断结果进行回顾性分析。结果 2005年6月至2010年5月重庆现代女子医院的年轻宫颈癌例数与同期宫颈癌总数之比逐年上升(P<0.01)。年轻宫颈癌中宫颈腺癌及其他非鳞癌总的构成比明显高于同期中老年宫颈癌中非鳞癌所占比例,二者差异有统计学意义(P<0.01)。结论年轻宫颈癌发病率呈上升趋势,年轻宫颈癌的病理类型亦发生了明显变化,故应更好地对年轻宫颈癌患者进行预后估计,并采取相应的综合治疗措施,以改善患者的预后。

Objective To study the prevalence,clinicopathological features,treatment and progonosis of cervical cancer in women under 35 years old.Methods The clinical information and pathological diagnosis of 56 young patients with cervical cancer were retrospectively analysed.Results During the period June 2005-May 2010,the ratio of younger patients（≤35 years old） to the total number of cervical cancer（CC） at the same period was increased year by year,with statistical significance（P0.01）.The constituent ratio of adenocarinoma to other non-squamous carcinoma in younger patients（≤35 years old） was higher than that in older patients（35 years old） and the difference had statistical significance（P0.01）.Conclusion There is an increasing prevalence of cervical cancer in women under 35 years old.The change of pathological type in younger patients（≤35 years old） is significant.So we should emphasize the prognostic estimation of the patients with CC and take relevant comprehensive treatment measures for improving prognosis.