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目的:分析年轻妇女宫颈癌的临床表现特征、诊断及治疗特点。方法:对27例年轻妇女宫颈癌患者的临床资料进行回顾性分析。结果:年轻妇女宫颈癌的临床表现主要为接触性出血(44.44%)和阴道不规则流血(25.93%),15例宫颈原位癌中8例行宫颈锥切术,6例行子宫全切术(1例经阴),1例行扩大子宫全切术,有8例宫颈癌在广泛性子宫切除手术同时行卵巢移位术,其中1例行双侧卵巢移位术,7例行右侧卵巢移位术,术后无1例发生卵巢转移。结论:接触性出血为年轻妇女宫颈癌的主要临床表现,必须引起广大妇女及医务工作者的高度重视,以免延误诊断和治疗,加重病情,对年轻早期宫颈癌患者治疗时须注意保留卵巢功能或生育功能。
Objective: To analyze the clinical manifestations, diagnosis and treatment of cervical cancer in young women. Methods: The clinical data of 27 young women with cervical cancer were analyzed retrospectively. Results: The clinical manifestations of cervical cancer in young women were mainly contact bleeding (44.44%) and vaginal irregular bleeding (25.93%). Cervical conization was performed in 15 cases of cervical carcinoma in situ and 6 cases of hysterectomy (1 case of perineum), 1 case of extended hysterectomy, 8 cases of cervical cancer in the extensive hysterectomy at the same time ovarian transposition, including 1 case of bilateral ovarian transposition, 7 cases of right Ovarian transposition, no case of ovarian metastasis. Conclusion: Contact bleeding is the main clinical manifestations of cervical cancer in young women, which must be paid great attention to by women and medical workers in order to avoid delay in diagnosis and treatment and to aggravate the condition. Care should be taken to keep ovarian function in young patients with early stage cervical cancer or Fertility function.