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目的分析老年(≥60岁)子宫颈浸润癌的特点,对其防治方法的选择进行探讨。方法检索我院2013年1月-2013年12月收治的子宫颈浸润癌患者173例,年龄29~76岁。临床分期为Ⅰ~Ⅳ期。≥60岁为老年组63例,其余为非老年组110例。对两组临床表现、辅助检查、合并症、治疗后并发症及防治方法分别进行统计学分析。结果老年组子宫颈浸润癌患者以60~62岁居多,症状以绝经后阴道不规则流血为主,临床期别较晚,自身合并症及治疗后出现的并发症较多;治疗优先选择放疗,同步放化疗治疗。结论应根据患者的临床症状、合并症、辅助检查及临床期别,重视临床治疗的综合应用,以便提高患者的治疗质量及治疗后生存率。
Objective To analyze the characteristics of cervical invasive carcinoma in the elderly (≥ 60 years old), and to discuss its selection of prevention and treatment methods. Methods A total of 173 patients with cervical invasive carcinoma admitted from January 2013 to December 2013 in our hospital were collected, ranging in age from 29 to 76 years. Clinical stage Ⅰ ~ Ⅳ. Sixty-three elderly patients were aged 60 or older and the rest were non-elderly patients. Two groups of clinical manifestations, laboratory examinations, complications, post-treatment complications and prevention methods were statistically analyzed. Results The majority of patients with cervical invasive carcinoma in the elderly group were predominantly 60-62 years old with symptoms of vaginal irregular blood flow in the postmenopausal period, late clinical stage, complications and postoperative complications. The treatment was given priority to radiotherapy, Simultaneous radiotherapy and chemotherapy treatment. Conclusions The comprehensive application of clinical treatment should be emphasized according to the patients ’clinical symptoms, complications, auxiliary examination and clinical stage, in order to improve the quality of patients’ treatment and post-treatment survival rate.