摘要
目的探讨绝经前子宫内膜癌的临床特征。方法对12例绝经前子宫内膜癌的资料做回顾性分析。结果绝经前子宫内膜癌多有不规则阴道出血,原发不孕或继发不孕及卵巢增大。8333%经分段诊刮确诊。对IaG1、IbG1的腺癌、腺肌癌可以行单纯全子宫切除术加双侧附件切除术或次广泛子宫切除术。5年生存率88.89%。结论分段诊刮对子宫内膜癌仍是有效的诊断方法,采用恰当的手术方式,效果满意。
Objectivs To study the feature of clinical and pathological of premenopause endometrial neoplasms. Methods Analysis of the clinical material of premnopause endometrical neoplasms of 12 cases. Results The clinical feature Of premnopause endometrical neoplasms were irregular menstruation, primary or secondary infertility and big ovary. 88.33% of 12 cases were diagnosed as fractional curettage. Total abdominal hysterectomy with bilateral salpingo-oophorectomy and partial redical hysterectomy were qualified for adenocarcinoma and adenoacanthoma of I a, I b stages. Survival rats of five years were 88.99%. Conclusions Fractional curettage is an effective diagnostic method to premenopause nedometrical neoplasms. The result is satisfied when adopting appropriate surgery.
出处
《基层医学论坛》
2004年第11期980-981,共2页
The Medical Forum
