【摘要】 目的　对比分析子宫内膜癌的临床分期与手术病理分期的差异 ,病理类型、病理所见、淋巴转移、腹腔液癌细胞阳性等与预后的关系 ,来探讨手术病理分期的优点 ,寻找诊断治疗子宫内膜癌的最佳方案。方法　回顾以往收治的子宫内膜癌资料完整的 30例临床分期与手术分期进行比较 ,分析子宫内膜癌的相关因素及预后。结果　临床分期与手术分期误差率Ⅰ、Ⅱ、Ⅲ期分别为15 .78%、5 0 %、6 6 7%。手术分期的 5年生存率Ⅰ、Ⅱ、Ⅲ期分别为 94%、75 %、34%。结论　手术分期优于临床分期 ,能客观反应其预后。因此正确的手术分期 ,制定合理的治疗方案是预后的关键。更多还原

【Abstract】 Objective We studied the defference between clinical staging and surgico-pathological staging of endometrial carcinoma,analyzed the relationship between the prognosis and the histological types,lymphatic metastasis,peritoneal positive cancer cells,to explore the advantages of surgico-pathological stage,and to find opium methods for the diagnosis and treatment of endometrial cacinoma.Methods 30 cases of endometrial carcinoma undergoing surgical operation were analyzed retrospectively.The clinical staging and surgico-pathological staging,the relative factors of prognosis were analyzed.Results Error rates of clinical staging to surgico-pathological staging were:15.78%(stage Ⅰ),50%(stage Ⅱ)and 66.9%(stage Ⅲ) respectively.The 5-year survival rates of surgico-pathological stage Ⅰ,Ⅱ and Ⅲ were:94%,75% and 33.33% respectively.ConclusionsThe surgico-pathological stage is superior to the clinical stage because it reflects the prognosis of endometrial carcinoma.So correct surgico-pathological staging and reasonable therpay are the key for the prognosis of endometrial carcinoma.更多还原