目的本文对我院１９７９年至１９９０年收治的３３例原发性阴道癌进行了临床分析。方法本组发病高峰年龄为４５～６５岁。病变部位以阴道上１／３居多。病理类型中鳞癌占６０．６％。治疗方式包括单纯手术、放疗、化疗以及其中二种方式的综合治疗。结果５年生存率Ⅰ、Ⅱ、Ⅲ、Ⅳ期分别为７７．８％、４７．１％、２５．０％、０％。结论临床分期、病变部位及治疗方法的选择均影响预后。 Objective To analyze the clinical features of 33 cases of primary vaginal cancer treated in our hospital from 1979 to 1990. Methods The onset peak age of this group was 45-65 years old. Most of the lesions were mostly on the upper 1/3 of the vagina. Squamous cell carcinoma accounted for 60.6% of pathological types. Treatments include surgery alone, radiation therapy, chemotherapy, and comprehensive treatment with two methods. Results The 5-year survival rates were 77.8%, 47.1%, 25.0%, and 0% for I, II, III, and IV stages, respectively. Conclusion The clinical stage, lesion location, and treatment options all affect the prognosis.