摘要
本文报道了１９７５年～１９９２年在我院治疗的卵巢无性细胞瘤４４例。其中Ⅰ期２０列，Ⅱ期８例，Ⅲ期５例，Ⅳ期１１例。２８例在我院完成首次治疗，除５例在治疗后３年内死亡外，其余均生存５至１７年，５年生存率为８２％。１６例外院术后复发转入我院治疗，按其初诊时的分期：Ⅰ期４例，Ⅱ期２例，Ⅲ期３例，Ⅳ期７例。５年生存率仅４４％。说明有效的首次冶疗相当重要。采用选择性病例作瘤侧附件切除加术后联合化疗，达到不增加死亡率的同时又保留患者的生育及卵巢功能，已经有了比较乐观的前影。
From 1975 to 1992,44 cases of ovarian dysgerminoma were treated in our hospital.Of them,stage Ⅰ20,stage Ⅱ 8, stage Ⅲ 5, stage Ⅳ 11.28 patients were treated initialy in our hospital.5 died within 3 years after treatment.The 5-year survival rate was 82%.16 cases with recurrence after operation came from other hospitals.stage Ⅰ 4,stage Ⅱ2,stageⅢ 3 and stage Ⅳ 7.The 5-year survival rate was only 44%.It suggested that effective initial therapy was very important.In this study, 20 cases (45.5%) were treated byadnexa resection of the lesion Qreas plus combintion chemotherapy post operation.The results demonstrated that this therapy would remain the fertility and of ovarian the function of the patients without increasing mortality.
