摘要
目的探讨年轻女性子宫内膜癌的发病特点、相关发病因素及其合理治疗。方法回顾性分析山东省潍坊地区1999年1月至2009年3月治疗的子宫内膜癌患者的临床资料,以160例45岁以上的患者为对照组(A组),21例45岁以下的年轻女性患者为病例组(B组),进行病例对照研究。结果病例组月经不调15例(71%),不孕未产8例(38%),对照组(既往)月经不调49例(31%),不孕未产7例(4%),差异均有统计学意义(P<0.005)。病例组中Ⅰ期患者19例(90%),对照组Ⅰ期患者89例(56%)。差异有统计学意义(P<0.005)。结论年轻患者更多有月经不调、不孕、发病期早,临床治疗效果好,预后好,早期低危型年轻患者可以考虑保留卵巢功能及生育功能。
Objective To discuss the clinical features, relative factors and reasonable therapy of endometrial carcinoma in young females. Methods The clinical date of in-patients with endometrial carcinoma from January 1999 to March 2009 were analysed retrospectively. 160 of the in-patients with endometrial carcinoma who were older than 45 years old were concluded as control group（A） and 21 in-patients who were younger than 45 years old as case group（B）. Case-control study was applied. Results The number of patients complicated with irregular menstruation and infertility was 15 （ 71% ） and 8 （ 38% ） in the group B, respectively. However, the number was respectively 49 （ 31% ） and 7 （ 4% ） in group A, （ P 〈 0. 005 ）. The number of in-patients of phase I was 19（90% ） in group B and the number in group A was 89（56% ）. （P 〈0.005 ）. Conclusions Young patients with endometrial carcinoma compared with the old patients are more complicated with irregular menstruation and infertility. Most of young patients are early stages（ phase I ）. Young patients with good clinical efficacy and early stages can be retain ovarian function and fertility.
出处
《中国实用医药》
2010年第2期61-62,共2页
China Practical Medicine
关键词
子宫内膜癌
临床分析
年轻化
卵巢功能
Endometrial carcinoma
Clinical analysis
Younger
Ovarian funcation
