首页|孕激素与根治性子宫切除及双侧附件切除术对子宫内膜癌患者的肿瘤标志物及生活质量的影响

孕激素与根治性子宫切除及双侧附件切除术对子宫内膜癌患者的肿瘤标志物及生活质量的影响

Effects of Progesterone,Radical Hysterectomy and Bilateral Adnexectomy on Tumor Markers and Quality of Life in Patients with Endometrial Cancer

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目的 探讨孕激素与根治性子宫切除及双侧附件切除术对子宫内膜癌患者的肿瘤标志物及生活质量的影响.方法 选取81 例子宫内膜癌患者,依照治疗方法的不同分组,采用根治性子宫切除及双侧附件切除术治疗的37 例作为对照组,采用孕激素与根治性子宫切除及双侧附件切除术治疗的 44 例作为观察组.比较 2 组治疗效果、肿瘤标志物水平、生活质量评分及不良反应发生情况.结果 观察组客观有效率(93.18%)高于对照组(75.68%),差异有统计学意义(χ2=4.881,P=0.027).治疗前,2 组HE4、CEA水平差异不显著(P>0.05),治疗后2 组HE4、CEA水平均显著降低(P均<0.05),且观察组低于对照组(P均<0.05).治疗前,2 组生活质量评分差异无统计学意义(P>0.05),治疗后2 组生活质量评分显著提升(P均<0.05),且观察组高于对照组(t=3.972,P=0.000).观察组不良反应总发生率(4.55%)低于对照组(21.62%),差异有统计学意义(χ2=3.953,P=0.047).结论 孕激素与根治性子宫切除及双侧附件切除术联合治疗能够改善对子宫内膜癌的治疗效果,降低肿瘤标志物水平,提升患者生活质量,降低不良事件的发生率.
Objective To investigate the effects of progesterone,radical hysterectomy and bilateral adnexectomy on tumor markers and quality of life in patients with endometrial cancer.Methods A total of 81 patients with endometrial carcinoma were selected,and 37 patients with radical hysterectomy and bilateral adnexectomy were selected as the control group,and 44 pa-tients with progesterone and radical hysterectomy and bilateral adnexectomy were selected as the observation group.The therapeu-tic effect,tumor marker level,quality of life score and adverse reactions were compared between the 2 groups.Results The effec-tive rate of the observation group(93.18%)was higher than that of the control group(75.68%),and the difference was statisti-cally significant(χ2=4.881,P=0.027).Before treatment,there were no significant differences in HE4 and CEA levels between the 2 groups(P>0.05),but after treatment,HE4 and CEA levels were significantly decreased between the 2 groups(P<0.05),and the observation group was lower than the control group(P<0.05).Before treatment,there was no statistical difference in QOL score between the 2 groups(P>0.05),but after treatment,QOL score between the2 groups was significantly improved(P<0.05),and the observation group was higher than the control group(t=3.972,P=0.000).The total incidence of adverse reac-tions in the observation group(4.55%)was lower than that in the control group(21.62%),and the difference was statistically significant(χ2=3.953,P=0.047).Conclusion Progesterone,radical hysterectomy and bilateral adnexectomy can improve the treatment effect of endometrial cancer,reduce the level of tumor markers,improve the quality of life of patients,and reduce the in-cidence of adverse events.

ProgesteroneRadical hysterectomyBilateral adnexectomyEndometrial cancerTumor markersQuality of life

马竹青、王瑞芳、郭燕

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471003 河南科技大学第一附属医院

孕激素 根治性子宫切除术 双侧附件切除术 子宫内膜癌 肿瘤标志物 生活质量

2024

实用癌症杂志
江西省肿瘤医院 江西省肿瘤研究所

实用癌症杂志

影响因子:1.241
ISSN:1001-5930
年,卷(期):2024.39(12)