老年妇科恶性肿瘤临床分析

Clinical analysis of gynecologic genital neoplasmas in senile women

目的 :探讨 6 0岁以上老年妇科恶性肿瘤的临床特点及防治有关问题。方法 :对我院近1 0年收治的 6 0岁以上老年妇科恶性肿瘤患者 77例进行回顾性分析。结果 :以绝经后阴道出血或排液为主诉最多 ,占 5 8.4 4% ,其次为腹胀、腹痛或盆腔包块 ,占 35 .0 6 % ;病种宫体癌居首位 ,其次卵巢癌 ,宫颈癌第 3位 ;术前 5 3例 (6 8.83% )合并各种内科疾病 ,术后 2 2例 (2 8.5 7% )出现并发症。结论 :子宫内膜癌发病率明显上升 ;术前积极控制合并症 ,掌握手术适应症 ,选择适宜手术方式 ,在严密监护下老年妇女能安全度过围手术期 ;开展普查普治。

Objective: To discuss clinical feature and relative issues about prevention and cure of gynecologic genital neoplasmas in senile women over sixty-year-old. Methods: 77 senile cases in recent 10 years that suffered gynecologic genital neoplasmas were reviewed. Results: The most chief complaint of vaginal bleeding or apocenosis post-menostasia were accounted for 58.44%,while the secondary complaint of stomach swelling or bellyache or pelvic mass for 35.06 %. The most common disease was endometral carcinoma, the second was ovarian cancer and the third cervical cancer. 53 cases (68.83%) companied with medical disorder preoperatively and 22 cases (28.57%) had complications postoperatively. Conclusion: The incidence of endometrial carcinoma has risen obviously. With controlling complications preoperatively and choosing proper operation methods and intensive nursing, senile women would get through peri-operation period safely. It is a effective measure to prevent and spot gynecological malignant tumor earlier by screening of senile women and intensifying health care.