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[目的]观察子宫内膜癌治疗效果和治疗方法对复发的影响。[方法]选择我院2006年1月~2010年1月子宫内膜癌患者80例,根据采取的治疗措施异同,分为单纯手术治疗(单纯手术者)和手术治疗为基础的综合治疗(综合治疗组)。其中单纯手术治疗患者共25例,手术为基础的综合治疗共55例。[结果]①单纯手术组患者1年、3年和5年生存率分别为72.0%、48.0%、24.0%;综合治疗组1年、3年和5年生存率分别为90.9%、67.2%、40.0%。综合治疗组1年、3年和5年生存率分别与单纯手术组比较,差异有统计学意义(P﹤0.05)。②单纯手术组局部复发率和远处复发率分别为52.0%和36.0%,综合治疗组局部复发率和远处复发率分别为18.2%和20.0%,两组局部复发率和远处复发率比较,差异有统计学意义(P﹤0.05)。[结论]子宫内膜癌不同治疗方法影响着患者的1年、3年和5年生存率及复发,以手术为基础的综合治疗能够提高患者生存率和降低患者局部复发及远处复发,优于单纯手术治疗。
[Objective] To observe the effect of treatment of endometrial cancer and the effect of treatment on recurrence. [Methods] Eighty patients with endometrial cancer in our hospital from January 2006 to January 2010 were selected. According to the similarities and differences in treatment measures, they were divided into general surgery (surgery alone) and surgical treatment based on comprehensive treatment therapy group). Among them, 25 cases were treated by simple operation, and 55 cases were treated by operation-based comprehensive treatment. [Results] The 1-year, 3-year and 5-year survival rates of the patients in the simple operation group were 72.0%, 48.0% and 24.0% respectively. The 1-, 3- and 5-year survival rates of the integrated operation group were 90.9% and 67.2% 40.0%. The 1-year, 3-year and 5-year survival rates of the integrated treatment group were significantly different from those of the simple operation group (P <0.05). ② In the simple operation group, the local recurrence rate and distant recurrence rate were 52.0% and 36.0% respectively. The local recurrence rate and distant recurrence rate in the comprehensive treatment group were 18.2% and 20.0% respectively. The local recurrence rate and distant recurrence rate in the two groups were compared , The difference was statistically significant (P <0.05). [Conclusion] Different treatments of endometrial cancer affect the patients’ 1-year, 3-year and 5-year survival rates and recurrences. Surgical-based comprehensive treatment can improve the survival rate of patients and reduce the local recurrence and distant recurrence. In a simple surgical treatment.