妇科恶性肿瘤424例的构成特点分析

Clinical characteristics and analysis of gynecological malignant neoplasmas: report of 424 cases

目的探讨妇科恶性肿瘤住院患者的构成特点。方法对424例住院的妇科恶性肿瘤患者的临床资料进行回顾性分析。结果 424例患者的疾病构成和顺位,排在前3位的分别为宫颈癌、子宫内膜癌、卵巢恶性肿瘤。宫颈癌、卵巢恶性肿瘤患者的好发年龄在40～50岁,而子宫内膜癌患者的好发年龄为50～60岁。宫颈癌、子宫内膜癌早期的诊断率高于卵巢恶性肿瘤;年轻患者卵巢恶性肿瘤早期诊断率高于老年患者;年轻及老年患者宫颈癌、卵巢恶性肿瘤早期诊断率均高于所有住院患者,差异有统计学意义(P<0.05)。结论加强对宫颈癌的普查防治工作,同时也要加大对其他妇科肿瘤的防治力度,提高早期诊治率。

Objective To investigate the constitutive characteristics of gynecologic malignant neoplasmas in hospitalized patients. Methods A retrospective analysis of the clinical date of 424 hospitalized patients with gynecologic malignant neoplasmas were performed. Results Three leading types of malignant neoplasmas were cervical cancers, endometrial cancers, and ovarian cancers according to the constitutive ratios of the 424 patients with neoplasmas. The age of occurrence of cervical cancers and ovarian cancers were 40 - 50 years, but the age of occurrence of endometrial cancers were 50 - 60 years. The ratio of early diagnosis and treatment of cervical cancers, endometrial cancersis weas higher than that of ovarian cancers. The ratio of ovarian cancers of young females was higher than that of senile females. And the ratio of cervical cancers and ovarian cancers of young and senile females were higher than that of all hospitalized patients （P 〈 0.05 ）. Conclusion It should be necessary to strengthen the screening program of cervical cancer, and pay more atention to prevention and control of other gynecological reproductive organ tumors at the same time, a improve early diagnosis and treatment of gynecologic malignant neoplasms.