100例老年妇科肿瘤临床分析研究

Clinical analysis on 100 cases of gynecologic neoplasmas in senile women

目的探讨老年妇科肿瘤患者的发病及临床特征、诊疗经验。方法回顾性分析2010年1月～2012年1月笔者所在医院诊治的100例老年妇科肿瘤患者临床资料。结果 100例患者中恶性肿瘤60例,以卵巢癌多见,其次是宫颈肿瘤;良性肿瘤40例,以卵巢及子宫肌瘤多见。妊娠次数多者恶性肿瘤发病率较高,差异有统计学意义(P<0.05)。临床表现主要有绝经后阴道出血和腹部异常包块。89例患者采取手术治疗,术前合并症较多,21例出现切口愈合不佳、泌尿系统感染、呼吸道感染等术后并发症,均对症治疗后痊愈。11例老年妇科肿瘤患者因伴有严重的基础疾病,或者病情晚期无法进行手术治疗,采取化疗、放疗等其他治疗。结论老年妇科肿瘤发病率高,早期预防与诊治是关键,手术治疗仍为主要治疗方法,加强围手术期处理,对降低术后并发症发生,改善患者预后有十分重要的意义。

Objective To analyze the onset charecteristics,clinical charecteristics,and the experience in diagnosis and treatment of gynecologic neoplasmas in senile women.Methods 100 cases senile women with gynecologic neoplasmas in the author＇s hospital from January 2010 to January 2012 were retrospectively analyzed.Results In 100 cases,60 cases of malignant tumor with ovarian cancer were common,followed by cervical tumor;40 cases of benign tumor,ovarian and uterine fibroids were common.The number of pregnancy was more,and the malignant tumor incidence rate was higher,the difference was statistically significant（P0.05）.The main symptoms of gynecologic neoplasmas in senile women were postmenopausal vaginal bleeding and abdominal mass.89 cases were treated by operation,preoperative comorbidities was more,21 cases with poor wound healing,infection of urinary system and respiratory infection postoperative,symptomatic treatment,all were healed after symptomatic treatment.11 cases with serious complications,or condition of advanced treated by chemotherapy,radiation therapy or others treatment.Conclusion The incidence of malignant gynecological tumors is high in elderly females.Postmenopausal vaginal bleeding is a dangerous sign of malignant tumors,which should be paid attention to.Operation is an important way of treatment,and meanwhile high possiblities of complications monitoring and treatment during perioperative period is important.