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目的回顾性分析总结影响子宫颈癌复发的高危因素。方法对2003年1月至2008年12月间中山大学附属第三医院妇科收治的116例子宫内膜癌病例进行回顾性分析,进一步探讨病理类型、组织学分级、肌层浸润深度、淋巴结转移、临床分期与复发之间的关系。结果临床分期、不同病理类型、组织学分级、有无淋巴结转移中患者的缓解曲线比较,结果均P<0.05,差异有显著意义;年龄、有无肌层浸润患者的缓解曲线比较,结果均P>0.05,无统计学差异。COX回归多因素分析,临床分期及组织学分级对生存的影响有统计学差异,P<0.05。结论病理类型、组织学低分化、淋巴结转移、期别晚是复发的高危因素。
Objective To retrospectively analyze the high risk factors that affect the recurrence of cervical cancer. Methods A retrospective analysis was performed on 116 cases of endometrial cancer admitted to the Third Affiliated Hospital of Sun Yat-sen University from January 2003 to December 2008 to further explore the pathological type, histological grade, depth of myometrial invasion, lymph node metastasis, The relationship between clinical stage and recurrence. The results of clinical staging, different pathological types, histological grade, with or without lymph node metastasis in patients with ease curve comparison, the results were P <0.05, the difference was significant; age, with or without myometrial invasion in patients with ease curve comparison, the results were P > 0.05, no statistical difference. COX regression multivariate analysis, clinical stage and histological grade had a statistically significant effect on survival (P <0.05). Conclusions The pathological type, histological poor differentiation, lymph node metastasis, late-stage recurrence are risk factors.