宫颈癌宫体浸润诊断及治疗策略:附27例报告

Clinical diagnosis and treatment strategy in cervical cancer with invasion of uterine body:analysis of 27 cases

目的:通过分析宫颈癌宫体浸润的病例资料,为临床诊治提供依据。方法:回顾性分析本院2009-05~2015-12收治的27例宫颈癌宫体浸润患者的临床表现、诊断方法、手术方式及病理结果。结果:27例患者中40.7%表现为阴道不规则流血,37.0%表现为阴道排液,22.2%无明显症状,仅为体检发现。HPV感染分型16型及18型占96.3%,9例患者术前MRI结果示:子宫内膜癌,病检结果示:8例为宫颈癌,1例子宫内膜鳞癌;18例MRI结果示:宫颈癌。术后随诊,平均生存时间16个月,平均生存率22.2%。结论:宫颈癌宫体浸润的诊断及治疗需结合病史、HPV及TCT筛查结果、阴道镜术前以及术后病理活检结果综合评估。

Objective：To investigate the clinical diagnosis and treatment stategy of uterine body of cervical cancer.Methods：The clinical manifestations,diagnostic methods,surgical methods,surgical methods and pathological findings of 27 cases of uterine body of cervical cancer who treated in our hospital from May 2009 to December 2015.Results：The 40.7% of patients showed irregular vaginal bleeding,37.0% showed irregular vaginal fluiding,22.2%was physical findings.Mostly patients were HPV16,18,Ratio was 96.3%.The preoperative MRI results in 9patients were showen：endometrial cancers,the postoperative pathologicexamination results showed that 8cases of cervical cancer.1cases of endometrial squamous cell carcinoma.The preoperative MRI results in 18 patients were showen：cervical cancer.The postoperative follow-up results showed that the average survival time was 16 months,and the average survival rate was 22.2%.Conclusion：Diagnosis of uterine body of cervical cancer should be combined with history,screening result,colposcopy diagnosis and the pathological result of biopsy.