中国伤残医学
中國傷殘醫學
중국상잔의학
CHINESE JOURNAL OF TRAUMA AND DISABILITY MEDICINE
2014年
2期
10-11,12
,共3页
子宫颈癌%病理诊断%临床分期%宫颈疾病筛查
子宮頸癌%病理診斷%臨床分期%宮頸疾病篩查
자궁경암%병리진단%림상분기%궁경질병사사
Cervical cancer%Pathological diagnosis%Clinical staging%Cervical disease screening
目的：通过对58例宫颈癌患进行病理分析，总结宫颈癌的病理特点，为临床诊治疾病提供可靠的参考依据，提高患者的生存率。方法：回顾性分析58例宫颈癌患者的临床资料，病理诊断采用WHO子宫体肿瘤组织分类（2003）标准。将全部病人按年龄划分为对照组和研究组，＞35岁者为对照组（46例），≤35岁者为研究组（12例）。结果：2组鳞癌共计49例，占全部患者的84．5％（49/58），腺癌共计8例，占13．8％（8/58）。对照组≤Ⅱa期37例（80．4％），≥Ⅱb期7例（15．2％）。研究组≤Ⅱa期11例（91．7％），≥Ⅱb期1例（8．3％）；2组分期差异有统计学意义（P≥0．05）。结论：宫颈癌主要分为鳞癌和腺癌2类，组织学诊断是宫颈病变诊断的金标准。临床临床分期越早，越有利于治疗方法的选择，患者的生活质量也将大大提高。
目的：通過對58例宮頸癌患進行病理分析，總結宮頸癌的病理特點，為臨床診治疾病提供可靠的參攷依據，提高患者的生存率。方法：迴顧性分析58例宮頸癌患者的臨床資料，病理診斷採用WHO子宮體腫瘤組織分類（2003）標準。將全部病人按年齡劃分為對照組和研究組，＞35歲者為對照組（46例），≤35歲者為研究組（12例）。結果：2組鱗癌共計49例，佔全部患者的84．5％（49/58），腺癌共計8例，佔13．8％（8/58）。對照組≤Ⅱa期37例（80．4％），≥Ⅱb期7例（15．2％）。研究組≤Ⅱa期11例（91．7％），≥Ⅱb期1例（8．3％）；2組分期差異有統計學意義（P≥0．05）。結論：宮頸癌主要分為鱗癌和腺癌2類，組織學診斷是宮頸病變診斷的金標準。臨床臨床分期越早，越有利于治療方法的選擇，患者的生活質量也將大大提高。
목적：통과대58례궁경암환진행병리분석，총결궁경암적병리특점，위림상진치질병제공가고적삼고의거，제고환자적생존솔。방법：회고성분석58례궁경암환자적림상자료，병리진단채용WHO자궁체종류조직분류（2003）표준。장전부병인안년령화분위대조조화연구조，＞35세자위대조조（46례），≤35세자위연구조（12례）。결과：2조린암공계49례，점전부환자적84．5％（49/58），선암공계8례，점13．8％（8/58）。대조조≤Ⅱa기37례（80．4％），≥Ⅱb기7례（15．2％）。연구조≤Ⅱa기11례（91．7％），≥Ⅱb기1례（8．3％）；2조분기차이유통계학의의（P≥0．05）。결론：궁경암주요분위린암화선암2류，조직학진단시궁경병변진단적금표준。림상림상분기월조，월유리우치료방법적선택，환자적생활질량야장대대제고。
Objective:To summarizes the pathological features of cervical cancer , provide reliable reference to the clinical diagnosis and treatment of relevant diseases , and thus help to improve the survival rate of patient through the pathological analysis of the 58 cases of cervical cancer patients .Methods:A retrospective analysis was carried out among 58 cases of cervical cancer patients with clinical data . The standard of WHO uterine tumor classification was adopted for pathological diagnosis .All patients were divided into control group and research group according to their ages , respectively, patients below 35 years of age were in the control group (46 cases), and patients 35 years old and above were in the research group (12 cases).Results:There were a total of 49 cases of squamous carcinoma , accounting for 84.5%of all patients (49/58);there were a total of eight cases of adenomatous carcinoma , accounting for 13.8%(8/58).In the con-trol group, 37 cases (80.4%)≤stage II a, and 7 cases (15.2%)≥stageⅡb.In the research group , 11 cases (91.7%)≤stageⅡa, 1 case (8.3%)≥stage Ⅱb;the staging difference of the two groups was statistically significant (P≥0.05).Conclusion:Cervical cancer would be mainly divided into two types , namely, squamous carcinoma and adenomatous carcinoma .Histological diagnosis should be the gold standard for the diagnosis of cervical lesions .The sooner clinical staging would be conducted , the better the treatment be se-lected, and the more the patients'life quality is promoted .
