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目的探讨Ⅰ、Ⅱa期宫颈癌盆腔淋巴结转移的高危因素。方法对根治术后208例Ⅰ、Ⅱa期宫颈癌患者临床与病理资料进行回顾性分析。结果临床分期、病理分级、浸润深度、肿瘤大小及形态、年龄与淋巴结转移显著相关。病理类型及宫体转移与淋巴结转移无相关性。结论临床分期晚,病理分级差,肌层浸润≥1/2,肿瘤直径≥4cm,内生型肿瘤,年龄≤35岁均为Ⅰ、Ⅱa期宫颈癌淋巴结转移高危因素。
Objective To investigate the risk factors of pelvic lymph node metastasis in stage Ⅰ and Ⅱ a cervical cancer. Methods The clinical and pathological data of 208 patients with stage Ⅰa and Ⅱa cervical cancer after radical operation were retrospectively analyzed. Results Clinical stage, pathological grade, depth of invasion, tumor size and shape, age and lymph node metastasis were significantly correlated. Pathological type and uterine body metastasis and lymph node metastasis no correlation. Conclusion The clinical stage, pathological grade, myometrial invasion ≥ 1/2, tumor diameter ≥ 4cm, endometrial cancer, ≤35 years of age are Ⅰ, Ⅱ a stage cervical lymph node metastasis risk factors.