子宫内膜癌手术患者预后的相关影响因素

目的：探讨影响子宫内膜癌手术患者预后的危险因素。方法回顾性分析进行手术治疗的子宫内膜癌患者80例的临床资料。随访4年，观察影响子宫内膜癌手术患者的危险因素。结果80例子宫内膜癌手术患者随访4年后，死亡13例，死亡率16．25％。经单因素分析，年龄、组织分化程度、手术病理分期、脉管癌栓、肌层浸润深度、盆腔淋巴结对子宫内膜癌手术患者预后有一定的影响作用。经多因素Logistic回归分析，年龄≥65岁、手术病理分期、盆腔淋巴结阳性、肌层浸润深度及脉管癌栓是影响子宫内膜癌手术患者不良预后的危险因素。结论年龄≥65岁、手术病理分期、盆腔淋巴结阳性、肌层浸润深度及合并脉管癌栓是影响子宫内膜癌手术患者不良预后的危险因素。

The Related Influence Factors of Endometrial Cancer Patients Treated with Surgery

Objective To investigate the related influence factors of endometrial cancer patients treated with surgery fac -tor.Methods 80 cases of endometrial cancer underwent surgery were retrospective analyzed .The risk factors on endometrial cancer surgery followed-up for 4 years were observed ,and provide corresponding countermeasures .Results 80 cases of endome-trial cancer underwent surgery were followed up for 4 years,there were 13 cases of death,the death rate was 16.25%.The age, differentiation degree ,surgical pathological staging ,vascular tumor emboli ,muscular infiltration depth and pelvic lymph node were influence on endometrial cancer surgery surgery prognosis by single factor analysis .The age≥65 years,surgical pathological stag-ing,pelvic lymph node positive ,muscular infiltration depth and vascular tumor emboli were risk factors influence on poor prognosis by multivariate logistic regression analysis .Conclusion Age≥65 years,surgical pathological staging ,pelvic lymph node posi-tive,muscular infiltration depth and vascular tumor emboli are risk factors affecting poor prognosis .