25年子宫恶性肿瘤住院病例比例分析

Study of incidence proportion of uterine malingnances for 25Years

目的为了解我省子宫恶性肿瘤的发病趋势。方法通过我院25年住院病例回顾性分析比较。结果子宫颈癌从95.47%下降到79.90%,发病率呈逐年下降趋势;子宫内膜癌从3.18%上升至15.8%,呈逐年上升趋势;子宫肉瘤无明显变化。子宫颈癌的好发年龄为40～60岁,近年有向老龄扩展趋势;子宫内膜癌的好发年龄为50～60岁,且有向年轻化扩展趋势。结论我省子宫颈癌仍占子宫恶性肿瘤发病率的首位,子宫内膜癌近年来逐年增多,提示我们应继续加强子宫恶性肿瘤早期发现和诊断方面的研究。

Objective To study the changes of incidence of uterine malignances in Jiangxi province.Methods Clinical data of patients with uterine malignances treated at Jiangxi Women`s and Children`s Hopital were retrospectively analyzed for25years.Results Proportion of cervical carcino-mas in all uterine malignances has decreased from95.47%to79.9%,incidence decreasing every year.However,rate of endometrial carcinomas has in-creased from3.18%to15.8%,increasing every year.That of uterine sarcomas has not changed signifi-cantly.Most patients with cervical carcinoma were40～60years old,getting older recently.Ages for en-dometrial carcinomas were mostly50～60years old,being younger recently.Conclusions Cervical cancer has been being still the most common in uterine malignances in Jingxi.Endometrial carcino-ma has been increasing every year recently.This indicates that we should continue to make more ef-forts to improve the early diagnosis and treatmeat of uterine malignances.