论文部分内容阅读
目的探讨妊娠期宫颈癌与非妊娠期宫颈癌在临床表现及手术方面存在的差异,分析其存在的差异,为临床实践提供可靠的医学依据。方法回顾性分析自2012年1月2016年6月郑州大学第一附属医院妇科收治的年龄≤40岁宫颈癌患者160例,就ⅠB期妊娠期宫颈癌患者与非妊娠宫颈癌患者的一般情况、临床表现、辅助检查、分期、诊断、病理、治疗、术中及术后情况进行统计学对比分析。结果妊娠期宫颈癌患者与非妊娠期宫颈患者一般情况比较无明显差异;妊娠期宫颈癌与非妊娠患者平均孕产次数、平均流产次数、分期、诊断方法、病理类型、病理分级、浸润深度、脉管浸润、淋巴结转移、治疗方式比较,差异均无统计学意义(P>0.05);妊娠期宫颈癌患者平均手术时间(284.80±66.86)min,术中出血量(217.33±207.73)ml,非妊娠期患者的为(249.59±57.04)min、(131.85±95.96)ml,差异有统计学意义(P=0.011、P=0.035)。结论妊娠合并宫颈癌与非妊娠宫颈癌之间亦存在很多相同点,不同的是妊娠合并宫颈癌患者平均手术时间、术中出血量均较非妊娠宫颈癌患者严重。
Objective To investigate the difference of clinical manifestation and operation between cervical cancer in pregnancy and non-pregnant cervical cancer and to analyze its differences and provide a reliable medical basis for clinical practice. Methods A retrospective analysis of 160 cases of cervical cancer patients ≤ 40 years of age admitted to the Gynecology Department of the First Affiliated Hospital of Zhengzhou University from January 2012 to June 2016 was conducted. According to the general situation of patients with stage ⅠB cervical cancer and non-pregnant women with cervical cancer, Clinical manifestations, auxiliary examination, staging, diagnosis, pathology, treatment, intraoperative and postoperative conditions were statistically analyzed. Results There was no significant difference in the general situation between patients with cervical cancer during pregnancy and non-pregnant patients with cervical cancer. The average number of pregnant women with cervical cancer and nonpregnant women during pregnancy, the average number of abortions, staging, diagnosis, pathological type, pathological grade, depth of invasion, The mean operative time (284.80 ± 66.86) min, intraoperative blood loss (217.33 ± 207.73) ml, non-invasive treatment of cervical cancer were The gestational age was (249.59 ± 57.04) min, (131.85 ± 95.96) ml, the difference was statistically significant (P = 0.011, P = 0.035). Conclusions There are many similarities between pregnant women with cervical cancer and non-pregnant women with cervical cancer. The difference is that the average operation time and intraoperative blood loss of pregnant women with cervical cancer are more serious than non-pregnant women with cervical cancer.