妊娠期间宫颈癌20例临床分析

来源 :中国医药指南 | 被引量 : 0次 | 上传用户:nihaoyuyue2009
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
目的 分析妊娠期间宫颈癌患者的临床资料与母胎结局,对其诊疗方案进行归纳总结?方法 分析2010年5月至2020年12月就诊于山东大学齐鲁医院的20例妊娠期间宫颈癌患者的临床资料,分析临床特点及治疗方法?结果 20例患者发病平均年龄(32.7±4.13)岁,其中早孕期6例(30.00%),中孕期7例(35.00%),晚孕期7例(35.00%),所有早孕期患者均选择终止妊娠并行根治手术,7例中孕期宫颈癌患者中有2例选择新辅助化疗延长孕周,其中1例术后1年因肿瘤复发死亡,1例预后良好,2例幼儿均发育正常;7例晚“,”Objective To analyze the clinical data and maternal-fetal outcome of patients with cervical cancer during pregnancy, so as to summarize their diagnosis and treatment plans. Methods The clinical data of 20 patients with cervical cancer during pregnancy who were admitted to Qilu Hospital of Shandong University from May 2010 to December 2020 were analyzed retrospectively, analyze clinical characteristics and treatment methods. Results The mean average age of the 20 patients was (32.7±4.13) years old, 6 of them were in early pregnancy (30.00%), 7 of them were in middle pregnancy (35.00%), and 7 of them were in late pregnancy (35.00%). All patients in early pregnancy chose to terminate pregnancy and admitted radical surgery. 2 of the 7 patients with cervical cancer in the middle trimester chose neoadjuvant chemotherapy. Among them, 1 patient died of cancer recurrence 1 year after surgery, the other one had a good prognosis, and both children of them had normal development; among the 7 patients in the third trimester, 3 patients only underwent cesarean section for the first time operation due to personal factors or other obstetric factors, and 4 patients underwent cesarean section followed by radical surgery. Among them, 5 fetuses had good follow-up results. Conclusion Patients with cervical cancer in early pregnancy wait too long to continue pregnancy, and the risk of disease progression is high. Patients with early cervical cancer can carefully consider termination of pregnancy and admit surgery that preserves fertility. Neoadjuvant chemotherapy during pregnancy is relatively safe for the mother and the fetus. During the second trimester, neoadjuvant chemotherapy can be performed after comprehensive consideration of the patient\'s gestational age, pathological type, stage, and fertility desire. After the fetus is relatively mature, cesarean section followed by radical surgery will be performed. Patients during pregnancy can also consider neoadjuvant chemotherapy, and consider cesarean section to terminate pregnancy after 32-34 weeks.
其他文献
目的:探讨心脏彩超联合心电图诊断风湿性心脏瓣膜病的价值.方法:选取2019年6月—2021年3月海军971医院收治的40例风湿性心脏瓣膜病患者作为试验组,随机选取同期40名健康人员作为对照组,试验组患者分别采用心脏彩超诊断和心脏彩超联合心电图诊断,比较两种诊断方式的准确率和检出率,同时比较试验组及对照组LAD、LVEDd、E/Ea、LVEF水平情况.结果:心脏彩超联合心电图诊断风风湿性心瓣膜病的诊断准确率和瓣叶病变检出率高于心脏彩超诊断,差异具有统计学意义(P<0.05).试验组LAD、LVEDd、E/E
目的 本次研究主要观察急性脑梗死的临床治疗方法,并有效分析使用神经重症模式治疗的实际效果?方法 实施本次研究的时间为2018年2月至2019年2月,选择在这个时间内在我院参与本次研究的急性脑梗死患者62例作为观察对象?根据两组患者选取治疗方案的不同将其分成观察组与对比组?纳入31例患者实施常规内科药物治疗作为对比组,纳入31例患者收住神经重症科在多参数监护下运用内科药物治疗作为观察组?观察组包含16例男性患者,15例女性患者,患者年龄25~68岁,平均年龄为(46.58±2.48)岁;对比组包含17例男性
人们都很想知道,能够成功领导一个组织的领导者,应该具备什么样的能力,以及如何才能锻造出这样的能力.或者换言之,领导力究竟来源于什么?一个人必须做些什么、经历些什么,才能掌握真正的领导力?rn孟子曰,“天将降大任于是人也,必先苦其心志,劳其筋骨,饿其体肤,空乏其身,行拂乱其所为,所以动心忍性,曾益其所不能.”历史上几乎所有伟大的管理者都经历过熔炉体验!一个人必须经历过“苦其心志,劳其筋骨,饿其体肤,空乏其身,行拂乱其所为”的熔炉历练,才能获得“动心忍性”的实质性改变,最终具备“曾益其所不能”的领导力.当前,
期刊