长春地区148例宫颈癌临床分析

目的:探讨近年来长春地区宫颈癌的发病趋势、临床特征及治疗情况。方法:回顾性分析吉林大学第一医院2000年1月～2005年8月间收治的经病理确诊的长春地区148例宫颈癌病例。结果:发病高峰在35～39岁,平均45岁。≤35岁组接触性出血的发生率为68%,≥46岁组绝经后不规则阴道流血的发生率为37%。ⅡA期所占比例最大为43%。82%的患者行手术治疗。结论:宫颈癌的发病呈年轻化趋势,HPV感染是宫颈癌及其年轻化的主要原因。年轻患者以接触性出血为主要表现,老年患者以绝经后不规则阴道流血为主要表现。应做到宫颈癌的早期诊断、早期治疗,选择恰当的治疗方案可提高患者的生存质量。

The clinical analysis of 148 cases of cervical cancer in Changchun area

Objective:To investigate the incidence of clinical character and treatment recently of cervical cancer in Changchun area.Methods:148 cases of cervical cancer in Changchun area were studied by retrospective analysis,who had been proved by pathological diagnosis in Jan.2000 to Aug.2005.Results:The peak focused on 35~39 years old,averaged age was 45.The incidence of contact bleeding of ≤35 years old group was 68%.The incidence of post-menopause bleeding of≥46 years old group was 37%.ⅡA stage was 43%.Operation was 82%.Conclusion:The patients' age become younger.HPV infection is the main cause of cervical cancer and its youthful.Contact bleeding is the main symptom in nonage patients;Post-menopause bleeding is the main symptom in senile patients.To reach early diagnosis and treatment.To select correct treatment plan in order to increase existent quality.