摘要
对22例国际妇产科协会(FIGO)Ⅲ、Ⅳ期卵巢恶性肿瘤患者行手术治疗,其中初次手术13例,再次手术9例,手术范围涉及生殖、消化、泌尿等系统,达到理想细胞减灭术(残余肿瘤≤2cm)16例,经短期(2～14月)随访,无复发.未达理想者6例,预后差.术后残余肿瘤>2cm的部位主要是盆腔的肿瘤粘连,其次为胃结肠韧带、肝门和牌门.此外,还对细胞减灭术的意义、手术可行性及影响手术彻底性的因素进行了讨论.
<Abstract >Prom January 1991 to March 1992,22 patients with FIGO of stage III and IV ovariancancer underwent surgical treatment. The optimal one was considered when the residual lesion was lessthan 2 cm after operation. The metastatic foci great than 2 cm before resection occured primarily in theomentum, pelvis and colon. 16 in 22 patients received optimal cytoreductive operation. The residual le-sions great than 2 cm were located in pelvis ,gastrocolic,hepatic and splenic hilus. With short time follow-up,16 patients with optimal operations are all alive without recurrences. In contrast,6 patients withunsatisfactory operation are in bad conditions. The authors expressed their own opinions on surgicalprinciples, demand, management, feasibility of the operation and the factors affecting cytoreductive surgery.
关键词
肿瘤细胞减灭术
卵巢肿瘤
治疗
<Keyword>Qvarian neoplasms
cytoreductive surgery
