子宫肉瘤165例临床病例探讨

目的：分析探讨子宫肉瘤165例临床病例。方法研究对象为在2000年6月—2014年6月期间内,该院一共收治的165例子宫肉瘤患者。回顾性分析诊断病例结果。结果①在165例子宫肉瘤患者当中：癌肉瘤、平滑肌肉瘤、子宫内膜间质肉瘤、腺肉瘤各为70例、56例、35例、4例；②各类I期病理一共为101例,II期一共为44例,III期一共为20例；③针对患者病理期级手术方法共分为全子宫切除术、全子宫切除+盆腔淋巴结清扫术、全子宫切除术+盆腔淋巴结清扫术+化疗、全子宫切除术+盆腔淋巴结清扫术+化疗+放疗几种,不同手术方法治疗效果差异有统计学意义(P<0.05)。讨论在165例子宫肉瘤患者以癌肉瘤居多,其次是平滑肌肉瘤。期级以I期患者居多,阴道不规则流血是子宫肉瘤患者最主要的临床表现症状。掌握患者病理类型,采取对应治疗方案,有利于改善预后。

Clinical Cases of Uterine Sarcoma:A Report of 165 Cases

Objective To investigate the clinical analysis of 165 cases of uterine sarcoma. Methods The main research ob-ject for the period in June 2000,to June 2014 165 cases of uterine sarcoma patients in our hospital were chosen. Diagnostic analysis results. Results 1 cases in 165 cases of uterine sarcoma: in 165 cases of uterine sarcoma: cancer sarcoma, leiomyosarcoma, endometrial stromal sarcoma, adenosarcoma of the 70 cases, 56 cases, 35 cases, 4 cases; 2 kinds of I pathological stage with a total of 101 cases, a total of 44 cases of II period, III period for a total of 20 cases of.3. patients according to the pathological stage of surgery were divided into grade hysterectomy total hysterectomy, pelvic lymphadenec-tomy, hysterectomy with pelvic lymphadenectomy and chemotherapy, hysterectomy with pelvic lymph node dissection several chemotherapy and radiotherapy treatment effect of different surgical methods, there are differences (P< 0.05). Conclusion In 165 cases Uterine sarcoma patients with carcinosarcoma is in the majority, followed by leiomyosarcoma. Stage by stage I patients mostly, the vagina is bloody rule is uterine sarcoma were the main clinical symptoms. Patients with pathological types, take corresponding treatment, can improve the prognosis.