论文部分内容阅读
目的:分析中年妇科肿瘤的发病情况、临床特点及围绕手术期处理特点。方法:分析年龄在30~40周岁中年组247例和老年组3 225例妇科肿瘤患者的临床资料。结果:与老年患者相比,中年患者恶性肿瘤的发病率明显偏高,几乎是老年患者的3倍;在中年妇科肿瘤类型中以卵巢癌最为常见,比例高达25.91%;心血管疾病是最为常见的术前合并症,比例为54.23%;在术后并发症中以阴道断端出血、切口愈合不良及泌尿系统感染比例最高,分别为18.37%、14.29%、14.29%。结论:在妇科病住院患者中,中年妇科肿瘤的发病比例相对较高,且中年患者恶性肿瘤的发病率高于老年患者;中年妇科肿瘤类型中常见的恶性肿瘤包括卵巢癌及宫颈癌,常见良性肿瘤为卵巢良性肿瘤及子宫肌瘤等。中年妇科肿瘤主要采用手术治疗且术前合并症比例较高,患者术后出现并发症的比例较小,无死亡病例。
Objective: To analyze the incidence of middle-aged gynecological tumors, clinical features and characteristics of the surgical treatment. Methods: The clinical data of 24 225 cases of gynecologic oncology patients aged 24-30 in the middle age group 30-40 years old and 3 225 cases in the elderly group were analyzed. Results: Compared with the elderly patients, the incidence of malignant tumors in middle-aged patients was significantly higher, almost 3 times that of elderly patients. Ovarian cancer was the most common type in middle-aged gynecologic tumors, accounting for 25.91% of the total. Cardiovascular diseases were The most common preoperative complications, the ratio was 54.23%; postoperative complications in the vaginal bleeding, incision healing and urinary tract infection the highest proportion of 18.37%, 14.29%, 14.29%. Conclusions: The incidence of gynecological tumors in middle-aged women is relatively high in patients with gynecological diseases, and the incidence of malignant tumors in middle-aged patients is higher than that in elderly patients. The common malignant tumors in gynecologic cancer types include ovarian cancer and cervical cancer Common benign tumors are benign ovarian tumors and uterine fibroids. Middle-aged gynecologic cancer is mainly treated by surgery and a higher proportion of preoperative complications, postoperative complications occurred in patients with a smaller proportion, no deaths.