摘要
目的：回顾性探讨卵巢交界性上皮性肿瘤治疗方式与预后的关系。方法：复习我院1982年10月至1992年10月收治的卵巢交界性上皮性肿瘤34例临床资料及随访结果。结果：以40岁以下多见，临床分期Ⅰ期21例、Ⅱ期8例，Ⅲ期5例。8例行单侧附件切除术，无死于肿瘤复发，20例行金子宫＋单侧或双侧附件切除。全子宫、双附件、大网膜，阑尾切除5例。1例死于肿瘤复发，2例死于其他疾病。6例来行化疗者无1例死亡。结论：预后与手术方式、化疗关系不密切·而与分期有关。早期诊断、早期治疗是提高存活率的关键。而对肿瘤破裂，腹水（腹腔洗液阳性），盆腹腔有种植转移者，应酌情化疗。腹腔化疗值得提倡。
Purpose: To investigate the relationship bctween the treatment and the prognosis ln ovarian borderiine epithelial tumors. Methed: The clinical charactetistics and progno5is of 34 patients with ovarian borderline epithelial tumors treated from 1982 to 1992 were analysed. Results: Most of the patients were less than 40 years old, 21 cases were classified as stage Ⅰ; 8 cases stage Ⅱ and 5 cases stage Ⅲ Unilateral adnexectomy was done in 8 patients, and none died of tumor recurrence. Total hysterectomy and unilateral or bilateral salpingo-oophorec tomy were done in 20 patients. Total hyste rectomy, bila teraI salpingo - oophoreetomy, omeniectomy and appendectomy were done in 5 patients. 1 patients died of tumor recurrence, 2 patients died of other diseases. No one died in 6 patients without chemotherapy. Conclusion: The prognosis is closely related to clinical staging but not closely reIated to the mode of operation and chemotherapy. The early diagnosis and treatment are the most important factors in improving the survival rate. Chemotherapy should be given to the patients with capsule rupture 0f tumors, positive ascites, and seeding deposits in the peritoneal cavity. Intrapezitoneal chemotherapy is of value.
