| 汪元元,张帆.青年及中老年宫颈癌患者临床特征对比分析[J].安徽医药,2018,22(5):853-856. |
| 青年及中老年宫颈癌患者临床特征对比分析 |
| Comparative analysis of clinical characteristics of young and middle aged and elderly patients with cervical cancer |
| 投稿时间：2016-08-02 |
| DOI： |
| 中文关键词: 宫颈癌 青年 中老年 对比 预防 |
| 英文关键词: cervical cancer youth middle and old age contrast prevention |
| 基金项目: |
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| 摘要点击次数: 1768 |
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| 中文摘要: |
| 目的 对比分析青年及中老年宫颈癌患者的基本特征与病理特征。 方法 回顾性分析皖南医学院弋矶山医院 2009年12月—2015年12月所收治的1 156例青年及中老年宫颈癌患者,其中年龄≤35岁的为青年组131例,另外选取127例年龄＞35岁的宫颈癌患者为老年组,两组在基本特征与病理特征方面做对比研究。结果 两组患者在人乳头瘤病毒(HPV)感染史(χ2=28.54)、初产年龄(χ2=5.62)、孕次(χ2=10.84)、产次(χ2=6.57)、首发症状(χ2=22.87)、治疗方式(χ2=13.65)均差异有统计学意义(均P＜0.05),在病例分期方面青年组以Ⅰa和Ⅰb+Ⅱa为主,占81.68%(107/131),而中老年组以Ⅰb+Ⅱa≥Ⅱb为主,占91.33%(116/127),两组比较差异有统计学意义(χ2=20.98,P＜0.05),两组患者在盆腔淋巴结转移(χ2=50.66)、肿瘤类型(χ2=23.65)、浸润深度(χ2=14.45)均差异有统计学意义(均P＜0.05),而在病理类型、肿瘤大小等方面差异无统计学意义(P＞0.05)。 结论 青年宫颈癌患者病理分期以早期为主,加强宫颈癌的知识宣传,对年轻女性广泛开展健康教育,做到早诊断、早治疗。 |
| 英文摘要: |
| Objective To compare and analyze the basic features and pathological characteristics in young and elderly patients with cervical cancer. Methods A retrospective analysis of 1 156 cases of cervical cancer in young and elderly patients in Yijishan Hospital of Wangnan Medical College from December 2009 to December 2015 were treated,including 131 cases of less than or equal to the age of 35 years old,and randomly selected 127 patients older than 35 years cervical cancer patients were compared,and the comparative studies on the basic characteristics and pathological features. Results The differences of the history of HPV infection (χ2=28.54),primiparous age (χ2=5.62),gravidity (χ2=10.84),parity (χ2=6.57),first symptoms (χ2=22.87),treatment methods (χ2=13.65) in two groups of patients had statistical significance (all P<0.05).In terms of case staging,the youth group was dominated by Ⅰa and Ⅰb+Ⅱa,ccounting for 81.68% (107/131),while the middle-aged and elderly group were dominated by Ⅰb+Ⅱa≥Ⅱb,accounting for 91% 33% (116/127),the difference between the two groups was statistically significant (χ2=20.98,P<0.05).The differences of pelvic lymph node metastasis (χ2=50.66),tumor type (χ2=23.65),infiltration depth (χ2=14.45) in two groups of patients had statistically significant (all P<0.05),but there were no significant differences in the pathological type and tumor size of two groups (P>0.05). Conclusions The pathological stage of cervical cancer in young patients is mainly in the early stage,we shouldbe strengthen the knowledge propaganda of cervical cancer,carry on the health education widely to the young women,and achieve the early diagnosis and early treatment. |
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