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子宫内膜癌术后的规范化管理OA

Standardized postoperative management for endometrial cancer

中文摘要英文摘要

子宫内膜癌是女性生殖系统最常见的恶性肿瘤之一,近年来发病率呈上升趋势,且发病年龄趋于年轻化.随着子宫内膜癌综合诊疗的进展,早期筛查及接受全面分期手术的患者比例增加,但术后复发仍影响患者生存预后.通过精准风险评估、分层辅助治疗、并发症防治及长期随访的术后规范化管理,可有效降低复发风险、改善生存质量,已成为改善子宫内膜癌患者预后的关键环节.文章结合国内外最新指南、专家共识及临床实践经验,系统阐述子宫内膜癌术后规范化管理的核心要点.

Endometrial carcinoma is one of the most common malignant tumors of the female reproductive system.In recent years,its incidence has been on the rise,and the age of onset tends to be younger.With advance in the comprehensive diagnosis and treatment of endometrial carcinoma,the proportion of patients undergoing early screening and comprehensive staging surgery has increased.However,postoperative recurrence still adversely affects the survival and prognosis of patients.Standardized postoperative management,including precise risk assessment,stratified adjuvant therapy,prevention and treatment of complications,and long-term follow-up,can effectively reduce the risk of recurrence and improve the quality of life,which has become a key strategy to improve the prognosis of patients with endometrial carcinoma.Based on the latest domestic and international guidelines,expert consensuses,and clinical practice experience,this article systematically elaborates on the core points of standardized postoperative management for endometrial carcinoma.

狄文;张楠

上海交通大学医学院附属仁济医院妇产科上海市妇科肿瘤重点实验室,上海 200127上海交通大学医学院附属仁济医院妇产科上海市妇科肿瘤重点实验室,上海 200127

医药卫生

子宫内膜癌分子分型术后管理辅助治疗

endometrial cancermolecular classificationpostoperative managementadjuvant therapy

《中国实用妇科与产科杂志》 2026 (5)

521-524,4

Shanghai Science and Technology Com-mission:Mechanism and Intervention of Ovarian Carcino-genesis Driven by Lineage-Specific Somatic Mutations Syn-ergizing with Transcriptional Regulation(23JC1403000)Wuxi Health"Three Talents"Strategy ProjectMedical-In-dustrial Interdisciplinary Youth Program of Shanghai Jiao Tong University(24X010301423) 上海市科委:谱系特异性体细胞突变协同转录调控驱动卵巢癌变的机制与干预(23JC1403000)无锡市卫生健康"三名"战略项目上海交通大学医工交叉青年项目(24X010301423)

10.19538/j.fk2026050109

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