| 腹主动脉旁淋巴结切除在子宫内膜癌手术治疗中的意义 |
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| 引用本文： | 王利君,王武亮,袁博,毛丽丽,徐臻. 腹主动脉旁淋巴结切除在子宫内膜癌手术治疗中的意义[J]. 实用妇产科杂志, 2011, 27(11) |
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| 作者姓名： | 王利君 王武亮 袁博 毛丽丽 徐臻 |
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| 作者单位： | 郑州大学第二附属医院,河南郑州,450014 |
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| 摘 要： | 目的:探讨腹主动脉旁淋巴结切除对子宫内膜癌手术病理分期及预后的影响。方法:回顾性分析我院行系统性盆腔及腹主动脉旁淋巴结切除的68例子宫内膜癌患者的临床病理资料。结果:15例(22.1%)发生淋巴结转移的患者中,12例(17.6%)发生盆腔淋巴结转移,7例(10.3%)发生腹主动脉旁淋巴结转移,其中4例(5.9%)患者同时出现盆腔及腹主动脉旁淋巴结转移,3例(4.4%)为单纯腹主动脉旁淋巴结转移。临床分期与手术病理分期不符合率为22.1%。术后随访6～57个月,平均26个月,获访率100%,1例复发,1例复发并死亡。结论:系统性盆腔及腹主动脉旁淋巴结切除术不仅对进行准确的手术病理分期,指导术后辅助治疗有重要意义,而且能提供预后相关信息。
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| 关 键 词： | 子宫内膜癌 腹主动脉 淋巴结切除术 手术病理分期 |
Role of Para-aortic Lymphadenectomy in the Surgical Treatment of Endometrial Carcinoma |
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| WANG Lijun,WANG Wuliang,YUAN Bo,et al. Role of Para-aortic Lymphadenectomy in the Surgical Treatment of Endometrial Carcinoma[J]. Journal of Practical Obstetrics and Gynecology, 2011, 27(11) |
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| Authors: | WANG Lijun WANG Wuliang YUAN Bo et al |
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| Affiliation: | WANG Lijun,WANG Wuliang,YUAN Bo,et al(The Second Affiliated Hospital of Zhengzhou University,Zhengzhou Henan 450014,China) |
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| Abstract: | Objective:To explore the role of para-aortic lymphadenectomy in the Surgical pathological Staging and prognosis of endometrial carcinoma.Methods:68 cases of endometrial carcinoma accepted systematic pelvic and para-aortic lymphadenectomy in the Second Affiliated Hospital of Zhengzhou University from Jan 2005 to Jul 2010 were analyzed retrospectively.Results:15(22.1%) of 68 patients had lymph node metastases,12 patients(17.6%) had pelvic lymph nodes metastases,7 patients(10.3) had paraortic lymph nodes metas... |
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| Keywords: | Endometrial carcinoma Abdominal aorta lymphadenectomy Surgical pathological staging |
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