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目的:探讨子宫混合性恶性中胚叶瘤的诊断及治疗方法对患者预后的影响。方法:回顾性分析1966~1995年经治疗的25例子宫混合性恶性中胚叶瘤患者的临床资料。结果:本组患者中,11例生存期≥2a,其中2例Ⅰ期早患者存活分别≥5a和≥10a。结论:子宫混合性恶性中胚叶瘤较少见,恶性程度高,患者预后不良。在诊断上,应重视术前诊刮和病理学检查。治疗方法上除Ⅰ期早可行单纯手术治疗外,其它各期均应在术前、术后辅以放疗、化疗等综合治疗。
Objective: To investigate the prognosis of patients with mixed uterine malignant mesoblastoma diagnosis and treatment. Methods: The clinical data of 25 patients with malignant mesenchyme mixed with uterus from 1966 to 1995 were retrospectively analyzed. Results: In this group of patients, 11 patients had a survival time of more than 2 years, of which 2 patients with early stage Ⅰ disease had a survival of ≥5a and ≥10a, respectively. Conclusions: Mixed uterine malignant mesoblastoma is rare, the malignancy is high, and the prognosis is poor. In the diagnosis, should pay attention to preoperative curettage and pathological examination. In addition to the treatment of simple early stage Ⅰ surgical treatment, the other should be preoperative and postoperative radiotherapy, chemotherapy and other comprehensive treatment.