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目的:回顾性分析1991年～1996年我院手术治疗的70例子宫内膜癌,根据手术方式分为清扫淋巴结组(32例),未清扫淋巴结组(38例),分析两组的生存情况。结果:行淋巴结清扫术与未行淋巴结清扫术5年生存率分别为69％及79％,差异无显著性(P>0.1)。淋巴结转移组与非淋巴结转移组,5年生存率分别为44％及77％,差异有显著性(P<0.005)。结论:淋巴结清扫术并不一定提高生存率,但对术后病理分期及术后辅助治疗有重要的指导意义。淋巴结转移是影响子宫内膜癌预后的重要因素。
OBJECTIVE: To retrospectively analyze 70 cases of endometrial carcinoma treated in our hospital from 1991 to 1996. The patients were divided into two groups: the lymphadenectomy group (32 cases) and the non-lymphatic group (38 cases) . Results: The 5-year survival rates of lymph node dissection and non-lymph node dissection were 69% and 79% respectively, with no significant difference (P> 0.1). The 5-year survival rates of lymph node metastasis group and non-lymph node metastasis group were 44% and 77%, respectively, with significant difference (P <0.005). Conclusion: Lymphadenectomy does not necessarily improve the survival rate, but has important guiding significance for postoperative pathological staging and postoperative adjuvant therapy. Lymph node metastasis is an important factor affecting the prognosis of endometrial cancer.