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目的探讨临床病理对盆腔淋巴结检出率的影响及盆腔淋巴结转移相关因素。方法回顾性分析296例行广泛性子宫切除及盆腔淋巴结清扫术的Ⅰb和Ⅱa期子宫颈癌患者的临床资料,统计其盆腔淋巴结清除数、阳性数及转移频度。结果296例患者术后病理证实盆腔淋巴结转移41例,转移率13.9%。结论盆腔淋巴结检出率受临床与病理等多种因素影响,盆腔淋巴结转移与临床分期、病理分型、宫颈肿瘤大小、间质浸润深度及脉管侵犯密切相关。
Objective To investigate the clinicopathological effects on the detection rate of pelvic lymph nodes and related factors of pelvic lymph node metastasis. Methods The clinical data of 296 patients with stage Ⅰb and Ⅱa cervical cancer who underwent radical hysterectomy and pelvic lymphadenectomy were retrospectively analyzed. The number of pelvic lymph nodes, the positive numbers and the frequency of metastasis were calculated. Results The pathological examination of 296 patients confirmed pelvic lymph node metastasis in 41 cases and the metastasis rate was 13.9%. Conclusions The detection rate of pelvic lymph nodes is affected by many factors such as clinical and pathological changes. Pelvic lymph node metastasis is closely related to clinical stage, pathological type, cervical tumor size, depth of interstitial infiltration and vascular invasion.