目的：对比分析宫颈腺癌与宫颈鳞癌的临床病理特征及妇科检查。方法选取我院收治的396例宫颈癌患者，收集其临床资料，其中宫颈鳞癌组345例，宫颈腺癌组51例。回顾性分析两组患者临床病理特征、妇科检查。结果宫颈腺癌组子宫增大、宫颈光滑、宫颈桶状增大、宫颈赘生物所占比例高于宫颈鳞癌组，两组差异有统计学意义（P ＜0.05）；宫颈腺癌组脉管间隙浸润、淋巴结阳性、深间质浸润、肿瘤直径＞4 cm 所占比例均高于宫颈鳞癌组，两组差异有统计学意义（P ＜0.05）。结论宫颈腺癌患者相当比例的妇科检查异常不明显，对术前准确诊断带来一定难度，且多数患者存在病理高危因素，临床治疗中应予以重视。%Objective To compare the clinical and pathological characteristics of cervical carcinoma and cervical squamous cell carcinoma and to analyze the clinical features of the patients with cervical squamous cell carcinoma. Methods 396 patients cervical cancer in our hospital were selected, clinical data were col ected,including 345 cases of cervical squamous cel carcinoma and 51 cases of cervical adenocarcinoma. We retrospectively analyzed the clinical and pathological features of two groups of patients. Results Adenocarcinoma of the uterine cervix uterine enlargement and smooth cervix,cervical barrel increases,cervical neoplasm proportion was higher than that of the group of squamous cel carcinoma of the cervix, the difference between the two groups had statistical significance(P < 0.05),in cervical adenocarcinoma group,the proportion of vascular space invasion,lymph node positive,deep stromal invasion,tumor diameter > 4 cm was higher than that of cervical squamous cel carcinoma group,the difference was statistical y significant(P < 0.05). Conclusion Cervical adenocarcinoma patients with a considerable proportion of gynecological examination is not obvious,accurate diagnosis before surgery to bring some difficulty,and most patients with pathological high risk factors,clinical treatment should be paid attention.
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