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目的:研究子宫内膜癌(EC)患者腹主动脉旁淋巴结(PALN)转移的相关临床病理因素。方法:回顾分析159例EC患者的临床病理资料,探讨PALN转移的危险因素。结果:肌层浸润(OR=2.094,95%CI为1.173~4.095,P=0.046)、分化程度(OR=6.662,95%CI为3.864~10.164,P<0.001)及髂外淋巴结转移(OR=5.428,95%CI为2.759~8.854,P<0.001)是子宫内膜癌PALN转移的独立危险因素。结论:临床上对于子宫内膜癌患者,应重视肌层浸润、分化程度及髂外淋巴结转移等因素,以对PALN转移进行合理评估。
Objective: To investigate the clinicopathological factors related to the metastasis of para-aortic lymph nodes (PALN) in patients with endometrial carcinoma (EC). Methods: A retrospective analysis of 159 cases of EC patients with clinicopathological data to explore the risk factors of PALN metastasis. Results: The degree of differentiation (OR = 6.662, 95% CI 3.864 ~ 10.164, P <0.001) and the external iliac lymph node metastasis (OR = 2.094, 95% CI 1.173-4.095, P = 0.046) 5.428, 95% CI 2.759 ~ 8.854, P <0.001) were independent risk factors for PALN metastasis in endometrial carcinoma. Conclusion: Clinically, in patients with endometrial cancer, we should pay attention to myometrial invasion, differentiation and metastasis of external iliac lymph nodes to evaluate the metastasis of PALN.