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目的分析老年妇科肿瘤的临床特点及处理原则。方法回顾性分析2008年1月至2012年6月四川省妇幼保健院收治的63例老年妇科肿瘤患者的临床资料。结果老年妇科肿瘤良/恶性比为0.85:1;绝经年限越久、绝经年龄越大,恶变的发生率越高。无痛性阴道流血和腹部包块是老年妇科肿瘤就诊最常见、最早出现的临床症状;老年妇科肿瘤患者术前合并症较多,但经过术前积极治疗,均能安全度过围手术期。结论老年妇科肿瘤发生率与绝经时的年龄、绝经年限呈正相关。妇科恶性肿瘤最早出现的症状是无痛性阴道流血和腹部包块。
Objective To analyze the clinical features and treatment principles of elderly gynecologic oncology. Methods The clinical data of 63 elderly patients with gynecologic oncology admitted to Sichuan MCH from January 2008 to June 2012 were retrospectively analyzed. Results Elderly gynecological tumor with good / malignant ratio was 0.85: 1; the longer the menopause age, the older menopause, the higher the incidence of malignant transformation. Painless vaginal bleeding and abdominal mass are the most common and earliest clinical symptoms of elderly gynecological tumors. The preoperative complications of elderly gynecologic oncology patients are more, but they can be safely perioperatively after preoperative positive treatment. Conclusions The incidence of gynecologic oncology in gynecology is positively correlated with the age of menopause and the age of menopause. The earliest symptoms of gynecological malignancies are painless vaginal bleeding and abdominal mass.