摘要
目的:分析不同年龄宫颈癌患者临床特征、病理特点与预后情况.方法:回顾性分析2010年1月至2013年1月于福建医科大学附属龙岩第一医院治疗的66例宫颈癌患者的临床资料,根据患者的年龄将其分为青年组(45岁以下,35例)和中老年组(45岁及以上,31例),比较两组患者的临床表现特征、病理特点以及预后,并分析宫颈癌年轻化的影响因素.结果:与中老年组相比较,青年组鳞状细胞癌、淋巴结转移、远处脏器转移、临床分期Ⅰ期、Ⅱ期、存在接触性出血、阴道不规则出血、分泌物异常等占比更高,患者的生存期较长,(P＜0.05).结论:不同年龄宫颈癌患者其临床特征、病理特点以及预后均不同,鳞状细胞癌、临床分期为Ⅲ期和Ⅳ期、远处脏器转移和淋巴结转移等均是造成宫颈癌年轻化的因素.
Abstract
Objective:To analyze the clinical characteristics,pathological characteristics,and prognosis of cervical cancer patients of different ages.Method:A retrospective analysis was conducted on the clinical data of 66 patients with cervical cancer treated at Longyan First Hospital affiliated with Fujian Medical University from January 2010 to January 2013.They were divided into a young group(35 cases under 45 years old)and a middle-aged and elderly group(31 cases over 45 years old)based on their age.The clinical manifestations,pathological characteristics,and prognosis of the two groups were compared,and the influencing factors of cervical cancer rejuvenation were analyzed.Result:Compared with the middle-aged and elderly group,the young group had a higher proportion of squamous cell carcinoma,lymph node metastasis,distant organ metastasis,clinical stages Ⅰ and Ⅱ,presence of contact bleeding,irregular vaginal bleeding,abnormal secretions,etc.,and a longer survival period for patients(P＜0.05).Conclusion:Cervical cancer patients of different ages have different clinical characteristics,pathological features,and prognosis.Squamous cell carcinoma,clinical staging of stages Ⅲ and Ⅳ,distant organ metastasis,and lymph node metastasis are all factors that contribute to the rejuvenation of cervical cancer.
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