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目的分析年轻妇女宫颈癌的发病原因、临床表现特征、诊断和治疗方法。方法对38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(68.3%)和阴道不规则出血(27.3%),HPV阳性率为85.3%,10例宫颈原位癌患者行宫颈锥切术,术后无一例复发,12例行广泛性子宫切除术同时行卵巢移位术,术后无一例发生卵巢转移。结论接触性出血为年轻妇女宫颈癌的主要临床表现和危险警示,应加强对年轻妇女的妇女病普查,以免延误诊断和治疗,对年轻妇女早期宫颈癌患者应注意其生育要求及注意保留卵巢功能。
Objective To analyze the causes, clinical manifestations, diagnosis and treatment of cervical cancer in young women. Methods The clinical data of 38 young women with cervical cancer were analyzed retrospectively. Results The clinical manifestations of cervical cancer in young women were mainly contact bleeding (68.3%) and vaginal irregular bleeding (27.3%). The positive rate of HPV was 85.3%. Ten patients with cervical carcinoma underwent cervical conization, A case of recurrence, 12 cases of radical hysterectomy ovarian transposition at the same time, no case of ovarian metastasis. Conclusions Contact bleeding is the main clinical manifestation and risk warning of cervical cancer in young women. The screening of young women should be strengthened to avoid the delay of diagnosis and treatment. Young women with early cervical cancer should pay attention to their reproductive requirements and keep the ovarian function.