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手术治疗Ⅰ期子宫内膜癌569例,71例于术后半年后出现复发,复发率为125%。823%在术后3年内复发。阴道顶端是最常见的复发部位,占365%,以下依次以盆腔占198%,肺部占135%,腹部占103%,腹主动脉旁淋巴结占63%,外阴占63%,其他占73%。复发部位与手术彻底性及术后有否辅助治疗有关。因此建议Ⅰ期子宫内膜癌术后3年内应密切随诊。
Surgical treatment of 569 cases of stage I endometrial cancer, 71 cases recurred six months later, the recurrence rate was 12.5%. 82. 3% recurred within 3 years after surgery. Vaginal apex is the most common site of recurrence, accounting for 36.5%, followed by pelvic cavity 19.5%, lung area 13.5%, abdominal area 10.3%, and abdominal aortic lymph node 6.0%. The vulva accounted for 6 to 3%, while the others accounted for 7 to 3%. The recurrence site is related to the thoroughness of surgery and whether there is adjuvant treatment after surgery. Therefore, it is recommended that stage I endometrial cancer should be closely followed up within 3 years after surgery.