【摘要】 目的 评价影响子宫内膜癌盆腔淋巴结转移和预后的相关因素。方法 回顾性分析56例子宫内膜癌患者的临床和病理资料，应用SSPS10.0统计软件分析FIGO分期、病理类型、病理分化、肌层浸润等因素与盆腔淋巴结转移和预后的相关性。结果 病理类型、分化和肌层浸润深度是子宫内膜癌患者盆腔淋巴结转移的高危因素(P<0.05)，绝经与否与盆腔淋巴结转移无关(P>0.05)。临床期别、病理分化、肌层浸润深度、淋巴结转移是子宫内膜癌重要的预后因素(P<0.01)，血CA125水平也是患者预后参考因素之一(P<0.05)。结论 病理类型、分化和肌层浸润深度是子宫内膜癌患者选择盆腔淋巴结清扫术重要的参考因素。FIGO分期、病理分化、肌层浸润深度、淋巴结转移是影响子宫内膜癌预后的重要指标。

    Tan Yuedi，Sun Jianmin，Wang Huaying

    Department of Gynaecology and Obstetrics，Putuo Central Hospital，Shanghai200062.

    【Abstract】 Objective To evaluate clinical features of endometrical carcinoma associated with pelvic lymph nodes metastasis and prognosis.Methods Fifty-six endometrical carcinoma cases’s clinical and pathologic data was analysed retrospectively.The statistical software SSPS10.0was used to analyse correlation between FIGO stage，histologic type，pathologic grade，myometrial invasion with pelvic lymph nodes metastasis and prognosis.Results The high risk facˉtors caused pelvic lymph nodes metastasis were histologic type ......