摘要
目的分析35岁以下宫颈癌患者在临床诊治过程中的临床特点。方法回顾性分析我院2005年1月至2009年12月收治的〈35岁以下宫颈癌95例患者的临床资料。结果在该年龄段宫颈癌患者占同期宫颈癌的18．59％（95／511），达五分之一。其最主要的临床表现为接触性出血（90．53％，86／95）；28例（29．47％，28／95）被肉眼诊断“宫颈炎”而进行局部治疗；阴道镜下活检遗漏浸润癌13例（13．68％，13／95）；在术中保留一侧或双侧卵巢53例（55．79％），均未发现卵巢转移或复发。结论接触性出血是年轻宫颈癌的主要表现，对此要高度重视；阴道镜下活检存在一定的局限性，必要时应进行宫颈锥切助诊；对于Ⅱ期以前的宫颈癌保留卵巢是安全可行的。
Objective To understand the clinical characteristics during clinical diagnose and treatment of young women patients under 35 years with cervical cancer. Methods The clinical data of 95 cervical cancer patients under 35 years was reviewed and analysed retrospectively. Results The percentage of the patients at this age set was 18. 59% ,accounting for almost one fifth of all the same period patients with cervical cancer. The most common primary clinical representation was sexual bleeding of vigina （90. 53 % , 86/95） ;28 cases （ 29.47% ,28/95 ） were misdiagnosed by naked eye examination and local treated as cervicitis; 13 cases （13.68%, 13/95） with severe pathological changes were missed diagnosed by biopsy under colposcopy ;53 cases （55.79% ,53/95 ） had their ovary preserved by one or two and had no metastasis or recurrence with carcinoma. Conclusions Sexual intercourse bleeding is the most common manifestation of young women with cervical cancer,which demands more attention. The biopsy under colopscopy has certain limitations, and should be performed along with conization while necessary. It is safe and feasible to retain ovary in cervical cancer patients before II stage.
出处
《中国综合临床》
2010年第9期992-993,共2页
Clinical Medicine of China
关键词
宫颈肿瘤
临床表现
诊断
治疗
Cervical neoplasms
Clinical representation
Diagnosis
Treatment
