中老年宫颈癌患者临床病理特征及预后分析

目的分析宫颈癌患者的临床病理特征和预后特点，比较年轻患者与中老年患者的差异，探讨中老年宫颈癌患者的病理特征和预后。方法回顾性分析安徽医科大学附属省立医院于2006年10月至2012年8月诊治的110侧宫颈癌患者的临床资料。将年龄≤35岁的患者作为年轻组，年龄〉35岁的患者作为中老年组，分析患者的临床病理特征以及可能的预后差异。结果两组患者都以接触性出血及不规则阴道出血为主，但年轻患者因处于性活跃期，有出血症状表现的比例比中老年患者高，中老年组的无症状确诊病例比年轻组高（P〈0．05）。病理特点两组在癌变种类方面无明显差异，鳞癌及腺癌占的比例类型两组差异不显著（P〉0．05），中老年组Ia患者明显少于年轻组，差异有统计学意义（x2=5．88，P〈0．05）。结论中老年患者的宫颈癌分期比年轻患者高，病情发展情况较严重。

Analysis on the Pathological Characteristics and Prognosis of Middle-aged Elderly Patients with Cervical Cancer

Objective To analyze characteristics of the clinical pathological features and prognosis of cervical cancer, and compare the differences between younger patients and elderly patients, to explore the pathological characteristic of senile patients with cervical cancer and the prognosis. Methods Retrospective analysis of the clinical data of 110 patients with cervical cancer from Provincial Hospital Affiliated to Anhui Medical University during Oct. 2006 and Aug. 2012 was done. The patients aged 35 years old or less were divided into young group, patients aged 〉 35 years were divided into elderly group, the clinical pathological features and possible outcomes differences were analyzed. Results Both groups were mainly featured with contact bleeding and irregular vaginal bleeding, but bleeding symptom of young patients with higher sexual activity was higher than middle-aged and old patients, proportion of asymptomatic cases of the elderly group was higher than the young group （ P 〈 0. 05 ）. Pathological characteristics had no statistically significant difference between the two groups in terms of cancer types, squamous cell carcinomas and adenocarcinoma proportion （ P 〉 0.05 ）, is relatively heavy, I a case number of the elderly group was obviously fewer than young group （x2 = 5.88, P 〈 0.05 ）. Conclusion Cervical cancer staging of the elderly patients is higher than young patients, i. e. the illness condition is more serious.