Clinical Analysis On 174 Cases Of Cervical Cancer

ObjectionCases of young women(less than or equal to 35 years old) and older women(over 35 years old) with cervical cancer inpatients from 2004 to 2011 years in Gansu Provincial Hospital were retrospectively analyzed. Summarizing the medical reasons, ultrasound results, blood type, pathological type, clinical treatment, ovarian preservation after operation, etc. of cervical cancer patients to provide the basis for the young and old patients with clinical diagnosis and treatment of cervical cancer.MethodThis test is a retrospective study. The clinical data of 174 cases of cervical cancer patients were divided into study group of young women(less than or equal to 35 years old) in 49 cases, 125 cases of elderly women in the control group. Recording the patients hospitalized date, age, age of first sexual intercourse, marriage age, gravidity, contraception, symptoms, signs, lesion morphology, pathological grade stage, lymph node metastasis, blood group and B ultrasonic examination, treatment and other general information to analyze clinical characteristics of study group compared with the control group.ResultsThe study group’s subjects largely were those who were 31-35 years old and 41-45 years old was common in the control group. The blood distribution of young and old group had no statistical significance. The contents of history of past illness and pathogenesis were those like that the study group had a history of tubal ligation in 22.4%(control group 52%), the study group had intrauterine device 36.7%(control group 17.6%), the study group had dysmenorrhea 41.7%(control group 16.4%), the number of pregnancy of the study group 2.60 ±1.54(control group 3.56±1.97), the number of birth frequency of the study group 1.66 ±1.13(control group 2.72±1.51), the number of vaginal deliveries≥3 of the study group 10.2%(control group 44.0%),the difference was statistically significant( P <0.05). The reasons for treatment: the study group with irregular vaginal bleeding visits 49%(controlgroup 72.8%), there was significant difference. The auxiliary diagnosis: there was no significant difference between the two groups’ role of suggesting of ultrasonography in cervical cancer. The contents of pathological side were those like that endogenous type and endocervical carcinoma in the study group was common, exogenous and ulcerative type was uncommon in gross pathological types, the difference was statistically significant( P <0.05). In the staging of cervical carcinoma, carcinoma in situ of cervix had obvious difference. Comparing diagnosis pathological examination with admission local biopsy results, diagnosis of disease inspection did not change much, upgrade was less in the study group. The number of the ovarian retain was more and the pelvic lymph node metastasis rate was lower in the study group.ConclusionThe times of pregnancy and vaginal delivery in young women were lower than the elderly’s which could explain that elderly patients were related to the more times of pregnancy and vaginal delivery. Vaginal discharge become the main symptom in young women whereas irregular vaginal bleeding become the main symptom in the elderly women. Endogenous type and endocervical carcinoma in the study group was common, exogenous and ulcerative type was common in the control group. Carcinoma in situ of cervix was more common in young women. Diagnosis of disease inspection did not change much, upgrade was more in the control group. The number of the ovarian retain was more in the study group related to the demand of life quality and the disease’s severity. The pelvic lymph node metastasis rate was lower in the study group and the prognosis was better.