宫颈癌381例淋巴转移情况分析

目的分析宫颈癌患者盆腔淋巴结转移的影响因素。方法对381例宫颈癌患者的临床资料进行回顾性分析。结果IA期淋巴结转移率为2%,IB期为11.9%,IIA期为16%,IIB期为18.5%。盆腔淋巴结转移率与病理分级,组织类型,肿瘤大小,术前化疗有关(P<0.05),与术前放疗、临床分期关系不明显(P>0.05)。结论宫颈癌患者的病理分级,组织类型,肿瘤体积是影响宫颈癌盆腔淋巴结转移的重要因素,对宫颈癌患者进行手术治疗时应充分考虑这些高危因素。

Clinical analysis of lymph metastasis in 381 cases of cervical cancer

Objective:To study the influential factors of cervical carcinoma with metastasis of pelvic lymph node. Methods: Clinical data were analized retrospectively in 381 patients with stage I~II cervical carcinoma. Results: The metastatic rate of pelvic lymphnode in stage IA was 2%,in stage IB 11.9%, in stage IIA 16%,in stage IIB 18.5%.The metastasis rate of pelvic lymph node related with pathological type,size of tumor , cell differentiation and preoperative chemotherapy(P<0.05).The clinical stage and preoperative radiotherapy may be not apparently related to metastasis pelvic lymphnode(P>0.05). Conclusion: Metastasis of pelvic node of cervical carcinoma may be related with pathological type, size of tumor and cell differentiation. risk effects of cervical carcinoma befor our operation.