[1]李秦宇琦,张维娜,高媛,等.早期宫颈癌宫旁组织转移的相关危险因素分析[J].中国计划生育和妇产科,2019,(9):43-46,52.
 LI Qin-yu-qi,ZHANG Wei-na,GAO Yuan,et al.Analysis of risk factors associated with parametrial tissue metastasis in early cervical cancer[J].Chinese Journal of Family Planning & Gynecotokology,2019,(9):43-46,52.
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早期宫颈癌宫旁组织转移的相关危险因素分析
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《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2019年9期
页码:
43-46,52
栏目:
论著与临床
出版日期:
2019-09-25

文章信息/Info

Title:
Analysis of risk factors associated with parametrial tissue metastasis in early cervical cancer
作者:
李秦宇琦张维娜高媛于红岩郭丽侯萍李晓林陈龙*
青岛市市立医院妇产科
Author(s):
LI Qin-yu-qiZHANG Wei-na GAO YuanYU Hong-yanGUO LiHOU PingLI Xiao-linCHEN Long*
Department of Obstetrics and Gynecology, Qingdao Municipal Hospital,Qingdao Shandong 266000,P.R.China
关键词:
宫颈癌宫旁转移危险因素
Keywords:
uterine cervical neoplasmsparametrial involvementrisk factors
分类号:
R 71174
摘要:
目的分析早期宫颈癌(ⅠA1~ⅡA2期)患者的宫旁组织转移率以及相关危险因素。方法收集青岛市市立医院2005~2015年接受Ⅰ、Ⅱ、Ⅲ型广泛全子宫切除+盆腔淋巴结清扫术治疗的194例早期宫颈癌(ⅠA1~ⅡA2期)患者的临床资料,对宫旁浸润和各临床病理指标进行统计学分析。结果194例患者中7例出现宫旁转移,转移率为36 % (7/194)。单因素分析结果显示:肿瘤大小(≤2 cm或>2 cm)、淋巴结转移情况、肿瘤浸润的深度(≤1/2或者>1/2)、淋巴脉管浸润(lympho-vascular space invasion,LSVI)情况及是否累及宫体、阴道是早期宫颈癌发生宫旁转移的危险因素 (P均 < 0.05 );多因素分析结果发现,影响早期宫颈癌宫旁转移的独立危险因素有淋巴结转移(OR值926,P=001)、脉管浸润(OR值2234,P=001)。LSVI(-)且淋巴结(-)的患者宫旁转移率为0。结论早期宫颈癌(ⅠA1~ⅠA2期)患者的宫旁转移发生率比较低,早期宫颈癌宫旁转移的独立危险因素有LSVI和淋巴结转移。
Abstract:
ObjectiveTo analyze the rate of parametrial tissue metastasis and related risk factors in patients with early cervical cancer (stage ⅠA1~ⅡA2). MethodsTo collect clinical data of 194 patients with early cervical cancer (stage IA1~IIA2) treated by type Ⅰ,Ⅱ

参考文献/References:

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更新日期/Last Update: 2019-09-25