子宫肉瘤临床特征及预后分析

目的探讨子宫肉瘤的临床特征,诊断及影响预后的相关因素,以提高临床诊治水平。方法回顾性分析37例子宫肉瘤的临床特点、诊断、治疗及预后。结果子宫肉瘤临床表现主要为异常阴道出血和腹部包块;诊断性刮宫和术中快速冰冻是明确诊断的主要方法;病理类型和治疗方式对子宫肉瘤患者2年及5年生存率无影响（P〉0.05）。临床分期和年龄与子宫肉瘤患者2年及5年生存率有关（P〈0.05）。结论子宫肉瘤的临床症状不典型,术前诊断率低,预后差;治疗以手术为主,可辅以放疗和化疗;临床分期和年龄是影响子宫肉瘤预后的重要因素。

Clinical and prognosis factors analysis of 37 cases uterine sarcoma

Objective To analyze the clinical characteristics of uterine sarcoma to facilitate the earlier diagnosis and treatment.Methods Thirty seven cases with uterine sarcoma were retrospectively analyzed about the clinical features,diagnosis,therapy and prognostic factors.Results The patients usually manifested with abnormal vaginal bleeding and lower-abdominal mass; Diagnostic curettage and rapid frozen section examination during the operation were main methods for diagnosis.Pathologic type and chemotherapy were not correlated with the overall 2-year and 5-year survival rates of the patients （P0.05） .But clinical stage and ages of the patients were correlated with them （P0.05） .Conclusion The clinical symptoms of uterine sarcoma is not typical,the preoperative di-agnosis rate is low and the prognosis is poor.The treatment is mostly by operation.Chemotherapy and radiotherapy are given after operation.The prognosis of uterine sarcoma was significantly related to clinical stage and patients＇ age.