摘要
目的：探讨子宫内膜癌的疗效从其预后因素。方法;收集1979年4月至1991年4月随访资料完整的182例子宫内膜癌。全组病人均经手术及术前放疗，部分病人术后放疗。经统计学X2检验分析预后。结果：总5年生存率80.2％，Ⅰ期91.9％，Ⅱ期81％，Ⅲ期56％，Ⅳ期0，临床分期、病理类型、组织学分级、宫体肌层浸润盆腔淋巴结转移是影响预后的重要因素、结论;术前分段诊刮至关重要、放宽1期病例下术指征是提高Ⅰ期盆腔淋巴结转移病例存活率的关键，术前术后放疗是防止复发提高存活率的有效措施。
Purpose: To investigate the treatment results and prognostic factors in patients with endometrial carcmorma. Method: A series of 182 cases with endometrial carcinoma who had complete follow-up from April 1979 to April 1991 was investigated. All the patients underwent surgical treatment and preoperative radiotherapy. Some patients underwent postoperative radiotherapy The Prognostic factors were analysed by x2 test. Results: The overall 5-year survival rate was 80.2%, of which 91.9% in stage Ⅰ(FIGO) 81% in stage Ⅱ, 56% in stage Ⅲ and 0 in stage ⅣClinical staging, pathological typing histological grading, the depth of myometrical invasion and pelvic lymph metastasis were the significanmt progniostic factors. Conchusion: It si important tio make fractional curettage belore operation. To extend operative indication for the case of stage Ⅰ with pelvic lymph node metastases is the key point to increase survival rate, Preoperative or postoperative radiotherapy is an effective proceduse to prevent recurrenctr and to improve survival rate.
