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为了解在临床上局限于子宫的子宫内膜癌的主动脉旁淋巴结转移率及用两种治疗方案治疗后的生存情况,109例患者施子宫全切、双附件切除及主动脉旁淋巴结切除术。其中5例因淋巴结固定仅行主动脉旁淋巴结活检。两种治疗方案为:①盆腔放疗;5040cGy)加孕激素治疗;②盆腔放疗(5040cGy)加主动脉旁放疗(4500cGy)。 109例患者中临床Ⅰ期89例,Ⅱ期20例。组织学3级29例,深肌层浸润31例。主动脉旁淋巴浸润19例(17.4％)。主动脉旁淋巴结转移与组织分级及深肌层浸润有密切关系。在19例主动脉旁淋巴结转移者中14例(68.4％)为深肌层浸润。组织学1
To understand the para-aortic lymph node metastasis rate of endometrial carcinoma clinically confined to the uterus and its survival after treatment with two treatment options, 109 patients underwent total hysterectomy, double adnexectomy and para-aortic lymph node resection. . Among them, only 5 cases of aortic lymph node biopsy were performed due to lymph node fixation. Two treatment options were: 1 pelvic radiotherapy; 5040 cGy) plus progesterone; 2 pelvic radiotherapy (5040 cGy) plus aortic radiotherapy (4500 cGy). Among the 109 patients, there were 89 cases of stage I and 20 cases of stage II. Histology grade 29 in 29 cases, deep muscle infiltration in 31 cases. Paraaortic lymphatic infiltration in 19 cases (17.4%). Para-aortic lymph node metastasis is closely related to histological grade and deep myometrial infiltration. Of the 19 patients with paraaortic lymph node metastases, 14 (68.4%) had deep muscle infiltration. Histology 1