子宫内膜癌术后综合治疗临床疗效的观察

The Clinical Efficacy Observation of Eendometrial Carcinoma by Comprehensive Treatment

目的:探讨子宫内膜癌患者术后综合治疗的临床价值,关注其对术后生活质量的影响,以积累经验,指导临床工作。方法:50例患者分为3组,A组50例,单纯应用根治术治疗;B组50例,在根治术基础上加用化疗,C组50例,在根治术基础上加用化疗、放疗及内分泌治疗,比较各组的疗效及术后3年生活质量的差别。结果:三组患者1年生存率未见明显差别,C组的3年生存率明显高于A组,C组5年生存率明显高于A、B组,B组5年生存率明显高于A组。C组术后3年生活质量明显高于A组和B组。结论:子宫内膜癌患者在根治术基础上加用综合治疗,效果理想,且能改善患者的生活质量,临床应积极应用。

Purpose:To compare the prognosis and life quality by different treatment in endometrial carcinoma,for accumulating clinical experience in directing the clinical work.Methods:150 cases with endometrial carcinoma were divided into three groups.The A group(50 cases) was treated by surgery, the B group(50 cases) were treated by surgery and chemotherapy.The C group(50 cases) were treated by comprehensive treatment(surgery,chemotherapy, endocrine therapy and radiotherapy).We compared the prognosis and life quality in the three groups.Results;The survival rate were not obviously significant after operative 1 year.The survival rate were obviously significant after operative 3 and 5 years There were obviously significant in general health, physical functioning,role—physical,bodily pain,vitality,social functioning,role—emotional and mental health after operative 3 years in the observation, group..Conclusions:The comprehensive treatment of can improve the efficacy and life quality,is worthy of being recommended in patients with endometrial cancinoma.