【摘要】 目的　探讨子宫肉瘤的早期诊断措施及改进治疗的可能性。方法　对在我院手术的6 0例子宫肉瘤病例的临床资料进行分析。结果　患者的主要症状有腹痛、异常阴道出血、阴道排液及腹部包块。术前诊断率为 30 %。附件转移仅 4例。盆腔淋巴结转移及大网膜转移并不罕见。Ⅰ期患者的 5年存活率为 4 5 9% ,Ⅱ、Ⅲ、Ⅳ期尚无一例存活 5年以上。结论　手术中有必要行盆腔淋巴结及大网膜切除。对部分患者可保留卵巢。更多还原

【Abstract】 Objective To investigate the early diagnosis methods and the possibility of new management for uterine sarcoma.Methods Clinical data of sixty cases of uterine sarcomas operated in our department were analyzed.Results Abdominal pain,abnormal vaginal bleeding,vaginal discharge and abdominal mass are the main symptoms.Uterine enlargement is the common sign of uterine sarcoma.The diagnosis rate of uterine sarcoma before operation is 30%.Ovary metastasis was found in 4 patients (6.7%), and all of them were found during operation.Pelvic lymph node and omentum metastasis are not rare.The 5 year survival rate in stage Ⅰ was 45.9%,and no patients with stage Ⅱ,Ⅲ and Ⅳ survived more than 5 years by now.Conclusion Pelvic lymphadenectomy and omentectomy should be performed in the operation.However ovary was not the common metastatic site,and it should be reserved for some indicated patients.更多还原