实用妇产科杂志2017，Vol.33Issue(8)：603-605,3.
Ⅰ型子宫内膜癌患者盆腔淋巴结转移危险因素分析
Analysis on Related Factors of Pelvic Lymph Node Metastasis in Patients with Type Ⅰ Endometrial Carcinoma
张庆华 1徐文生 1蓝喜1
作者信息
- 1. 广西医科大学第一附属医院,广西南宁530021
- 折叠
摘要
Abstract
Objective:To investigate the high risk factors of pelvic lymph node metastasis in patients with type Ⅰ endometrial carcinoma in order to provide the basis for making reasonable operation scope.Methods:Risk factors of pelvic lymph node metastasis were analyzed in 136 cases of type Ⅰ endometrial carcinoma.Univariate analysis was performed with Chi square test or Fisher's exact probability method,and multivariate analysis was performed with a logistic regression mode.Results:The positive rate of pelvic lymph nodes in 136 patients with type Ⅰ endometrial carcinoma was 9.56％ (13/136).Univariate analysis showed that histological grade,size of lesion,depth of myometrial invasion and vascular invasion were related to lymph node metastasis(P ＜0.05);Multivariate Logistic analysis showed that low differentiation,deep muscular invasion,tumor diameter≥2 cm and LVSI were independent risk factors of pelvic lymph node metastasis in patients with type Ⅰ endometrial carcinoma(P ＜0.05).Conclusions:The rate of pelvic lymph node metastasis is low in type Ⅰ endometrial carcinoma.Patients with low differentiation,deep muscular invasion,tumor diameter≥2 cm and LVSI are more likely to occur pelvic lymph node metastasis in type Ⅰ endometrial carcinoma.关键词
子宫内膜癌/淋巴结转移/危险因素Key words
Endometrial carcinoma/Lymph node metastasis/Risk factor分类
医药卫生引用本文复制引用
张庆华,徐文生,蓝喜..Ⅰ型子宫内膜癌患者盆腔淋巴结转移危险因素分析[J].实用妇产科杂志,2017,33(8):603-605,3.
