【摘要】 目的 :探讨宫颈癌的临床、病理特点、诊治方法及预后因素。方法 :收集 1996年 1月至 2 0 0 1年 1月2 2 6例宫颈癌患者进行回顾性分析。结果 :平均患病年龄为 4 8.18岁。 130例患者为阴道流血 ,70例为阴道流液 ,2 5例下腹疼痛 ,1例精神减退、贫血、浮肿。病理分期 :Ⅰ期病例数为 16 9例 (75 % ) ;Ⅱ期病例数为 31例 (13.72 % ) ;Ⅲ期病例数为 2 3例 (10 .18% ) ;Ⅳ期病例数为 3例 (1.1% )。比较 2 1例宫颈鳞癌与宫颈腺癌的转移 ,显示后者的腹主动脉旁淋巴结转移、肾上腺转移、子宫转移、胸水形成明显高于前者。结论 :重视宫颈癌发病相关因素及临床症状 ,争取早期诊断 ,严格手术病理分期 ,选择适当治疗方案更多还原

【Abstract】 Objective: To investigate the clinical and pathologic characteristics, diagnosis, treatment and prognosis factors in human cervical cancer. Methods: From Jan. 1996 to Jan.2001, 226 patients with cervical cancer admitted to our hospital were retrospectively studied. Result: The average age was 48.18 years. There were 130 cases of vaginal bleeding, 70 cases of whitish vaginal discharge, 25 cases of lower abdominal pain and 1 case of lassitude, anemia and edema. According to the clinical stage, there were 169 cases in stage Ⅰ(75%), 31 cases in stage Ⅱ(13.72%), 23 cases in stage Ⅲ(10.18%), and 3 cases in stage Ⅳ(1.1%). The contrast of metastasis between 21 cases of cervical adenocarcinoma and 21 cases of cervical squamous cell carcinoma suggested that the para-aortic node metastases,adrenal gland metastasis, uterus metastasis and pleural effusion were significantly higher in cervical adenocarcinoma. Conclusion: Enough attention should be paid to the relevant factors and clinical symptoms in human cervical cancer in order to make early detection, master the difference of clinical stages and select suitable treatment.更多还原