老年妇科恶性肿瘤临床分析

目的：探讨60岁以上老年妇科恶性肿瘤的临床特点及防治有关问题。方法：对我院近l0年收治的60岁以上老年妇科恶性肿瘤患者77例进行回顾性分析。结果：以绝经后阴道出血或排液为主诉最多，占58．44％，其次为腹胀、腹痛或盆腔包块，占35．06％；病种宫体癌居首位。其次卵巢癌，宫颈癌第3位；术前53例(68．83％)合并各种内科疾病，术后22例(28．57％)出现并发症。结论：子宫内膜癌发病率明显上升；术前积极控制合并症，掌握手术适应症，选择适宜手术方式，在严密监护下老年妇女能安全度过围手术期；开展普查普治、加强老年妇女保健是预防及发现早期恶性肿瘤的有效格旄．

Clinical analysis of gynecologic genital neoplasmas in senile women

Objective: To discuss clinical feature and relative issues about prevention and cure of gynecologic genital neoplasmas in senile women over sixty-year-old. Methods: 77 senile cases in recent 10 years that suffered gynecologic genital neoplasmas were reviewed. Results: The most chief complaint of vaginal bleeding or apocenosis post-menostasia were accounted for 58.44%,while the secondary complaint of stomach swelling or bellyache or pelvic mass for 35.06 %. The most common disease was endometral carcinoma, the second was ovarian cancer and the third cervical cancer. 53 cases (68.83%) companied with medical disorder preoperatively and 22 cases (28.57%) had complications postoperatively. Conclusion: The incidence of endometrial carcinoma has risen obviously. With controlling complications preoperatively and choosing proper operation methods and intensive nursing, senile women would get through peri-operation period safely. It is a effective measure to prevent and spot gynecological malignant tumor earlier by screening of senile women and intensifying health care.