摘要
【目的】探讨子宫内膜癌患者腹膜后盆腔淋巴结转移的相关因素。【方法】选取43例于2000年1月至2001年8月行广泛性子宫加双附件切除加腹膜后盆腔淋巴结清扫的子宫内膜癌患者,分析腹膜后盆腔淋巴结(retroperitoneal lymph node,RLN)转移与临床病理和5年生存率的关系。【结果】RLN转移在病理分级,肌层浸润深度,宫颈浸润深度和宫旁血管浸润组间差异有显著性(P<0.05);在腹腔冲洗液细胞学阴性组和阳性组间差异无显著性(P>0.05);5年生存率在病理分级,肌层浸润深度,腹腔冲洗液细胞学检查,RLN转移和宫旁血管浸润组间差异有显著性(P<0.05);宫颈浸润深度不同组间5年生存率差异无显著性(P>0.05)。【结论】RLN转移与病理分级,肌层浸润深度,宫颈浸润和宫旁血管浸润有关;5年生存率与病理分级,肌层浸润深度,腹腔冲洗液细胞学阳性,RLN转移和宫旁血管浸润有关。
[Objective]To study the correlative factors of retroperitoneal lymph node （RLN） metastasis in endometrial carcinoma. [Methods]Forty three patients between Jan 2000 and Aug 2001 were treated by extensive hysterectomy and retroperitoneal lymphadenectomy. The relationship between RLN and clinical pathologic factors and five years survival rate were studied. [Results]There were significantly difference among RLN metastatic rate and pathologic grade, deep myometrial invasion, cervical invasion and vascular invasion （ P 〈0. 05）, no significant difference between RLN metastatic rate and peritoneal cytology positive （ P 〈0.05）. There was significant difference among five years survival rate and pathologic grade, deep myometrial invasion, peritoneal cytology positive, RLN metastatic rate and vascular invasion （P 〈0. 05）, no significant difference between five years survival rate and cervical invasion （ P 〉0.05）. [Conclusion]For RLN metastasis, pathologic gra＇de, deep myometrial invasion, cervical invasion and vascular invasion are influencing factors. For five years survival rate, pathologic grade, deep myometrial invasion, peritoneal cytology positive, RLN metastatic rate and vascular invasion are influencing factors.
出处
《医学临床研究》
CAS
2007年第3期430-431,共2页
Journal of Clinical Research
关键词
子宫内膜肿瘤
腹膜后肿瘤
淋巴转移
盆腔肿瘤
endometrial neoplasms
retroperitoneal neoplasms
lymphatic metastasis
pelvic neoplasms
