[摘要] 目的：探讨子宫内膜癌手术后复发的原因，并进行对比观察以了解复发的高危因素。方法：以2001年2月～2005年2月手术治疗的子宫内膜癌复发98例为复发组，选取同期子宫内膜癌术后无复发病例90例为无复发组，观察两组高危因素(淋巴转移、宫旁转移、宫颈转移、腹水细胞学、输卵管转移、肌层浸润深度、韧带转移、阴道转移、肉眼分型、病理类型、细胞分级)，并进行比较。结果：无复发组与复发组两组高危因素比较差异有统计学意义(P<0.05)。结论：子宫内膜癌复发的高危因素与临床期别、宫颈受累、肌层浸润、组织学分级、盆腔及腹主动脉旁淋巴结转移和腹腔冲洗液中有癌细胞等有着密切相关，子宫内膜癌患者的首次治疗应个体化选择手术方式。

    [关键词] 子宫内膜癌 复发 高危因素 分析

    [中图分类号] R737.33[文献标识码]A [文章编号]1673-7210(2011)02(c)-026-02

    Risk factors analysis of recurrence of endometrial cancer

    CUI Xuemei

    (The Center Hospital of Zhengzhou City, He′nan Province, Zhengzhou 450007, China)

    [Abstract] Objective: To investigate cause and risk factors the recurrence of endometrial cancer. Methods: From February 2001 to February 2005 surgical treatment of recurrent endometrial carcinoma 98 patients as recurrence group, selected the same term postoperative no recurrence of endometrial carcinoma 90 patients as no recurrence group, risk factors of two were observed and compared. Results: The risk factors of two groups had significant difference (P<0.05). Conclusion: Risk factors of recurrence of endometrial cancer is closely associated with clinical stage, cervical involvement, myometrium invasion, histological grade, pelvic and para-aortic lymph node metastasis and peritoneal washing fluid cancer cell, etc., endometrial cancer treatment should be individualized for the first time choose surgery. ......