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目的:分析子宫内膜癌患者临床及围手术期特征。方法:选取吉林大学第一医院手术治疗子宫内膜癌患者309例,将并存各种并发症的148例患者(合并症组)与同期无合并症的161例子宫内膜癌患者(对照组)的临床资料进行比较分析。结果:子宫内膜癌常见的合并症为高血压(97例)、糖尿病(52例),冠心病(12例)等,合并症组平均年龄(57.2±8.4)岁,对照组平均年龄(50.2±7.2)岁,合并症组的年龄明显高于对照组(P<0.01)。合并症发生情况与手术范围、肿瘤分期、分化程度和病理类型无关,而合并症者发生术后近期并发症的比例高于对照组(P<0.05)。结论:子宫内膜癌常合并高血压、糖尿病、冠心病等,合并症对治疗过程有一定的影响,治疗时要控制合并症,但合并症存在与否对预后无明显影响。
Objective: To analyze the clinical and perioperative characteristics of patients with endometrial cancer. Methods: A total of 309 patients with endometrial cancer who underwent surgery in the First Hospital of Jilin University were enrolled. A total of 148 patients with complication (comorbidity group) and 161 patients with endometrial cancer without complications (control group) The clinical data for comparative analysis. Results: The common complications of endometrial cancer were hypertension (97 cases), diabetes (52 cases) and coronary heart disease (12 cases). The average age of the patients with complications (57.2 ± 8.4) years and the mean age ± 7.2) years old, the age of the complication group was significantly higher than that of the control group (P <0.01). The incidence of comorbidities was not related to the surgical range, tumor stage, differentiation degree and pathological type, but the incidence of postoperative complications in patients with comorbidities was higher than that in the control group (P <0.05). Conclusion: Endometrial cancer is often associated with hypertension, diabetes mellitus and coronary heart disease. Complications have a certain impact on the course of treatment, and complications should be controlled during the treatment. However, the presence or absence of complications has no significant effect on the prognosis.