返回 2008年第31卷第3期 目录

近10年川南地区宫颈癌临床特点变化趋势分析

刘成红，毛熙光，伍宗惠

（泸州医学院附属医院妇产科，四川泸州 646000）

摘 要 目的：分析近10年川南地区宫颈癌临床特点变化趋势。方法:对1996年10月至2006年10月间泸州医学院附属医院的517例宫颈癌病例资料进行回顾性分析。结果:2001年10月~2006年10月间收治的宫颈癌（后5年组）与1996年10月至2001年10月间收治的宫颈癌（前5年组）相比较其临床特点有所改变，年轻宫颈癌的构成比从1996~2001年的4.59％上升至2001~2006年的18.87％，呈显著上升趋势(P<0.01)；宫颈腺癌及其它非鳞癌总的构成比由1996~2001年的5.50％上升至2001~2006年的16.18％，呈显著上升趋势(P<0.01)；后5年组采取更合理的个体化的综合治疗措施，提高患者的5年生存率。结论:本地区宫颈癌发病年龄呈现年轻化趋势，病理类型近几年发生了明显变化, 应更好地对宫颈癌患者进行预后估计,并采取相应的综合治疗措施，以改善患者的预后。

关键词 子宫颈癌；临床特点；治疗方法

ANALYSIS OF THE CHANGES OF CLINICAL FEATURE OF CERVICAL CANCER IN THE PERIOD OF 10 YEARS IN SOUTH SICHUAN

Liu Chenghong,et al

Department of Obstetric and Gynecology，the Affiliated Hospital of Luzhou Medical College

Abstract Objective:To study the changes of clinical feature of cervical cancer in the period of 10 years in South Sichuan. Methods: 517 cases with cervical cancer diagnosed by the affiliated hospital of Luzhou medical college in the period of 10 years(1996.10～2006.10)were reviewed and analysed.Results:The clinical characteristic of cervical cancer patients diagnosed in the later 5 years(2001.10～2006.10)was different from that of the first 5 years(1996.10～2001.10).From first 5 years to latter 5 years,the percentage of young patients with cervical cancer(CC)increased from ４.59％ to 18.87％,and the increasing trend is significant (P<0.01);the rate of adenocarinoma and other in-squamous carcinoma increased from 5.50％ to 16.18％(P<0.01).The more advisable and individualized、comprehensive therapies were operated in the group of latter 5 years,and increased the 5 years survival rates.Conclusion:The incidence age of patients with cervical cancer is gradually getting younger,the change of pathological type is significant,so we should emphasize the prognostic estimation of the patients with CC and take appropiate therapies,and try to improve the prognosis.

Key words Cervical cancer；Clinical feature;Treatment