上皮性卵巢癌系统性腹膜后淋巴结切除术的临床意义  

Clinic Study of Systematic Retroperitoneal Lymphaderectomy in Patients with Epithelial Ovarian Cancer

作　　者：彭素蓉[1] 王金华[1] 陈小祥[1] 

机构地区：[1]江苏省肿瘤医院妇瘤科,210009

出　　处：《实用癌症杂志》2006年第1期49-51,共3页The Practical Journal of Cancer

基　　金：江苏省社会发展基金资助项目(编号:BS2000069)

摘　　要：目的探讨上皮性卵巢癌系统性腹膜后淋巴结切除术的方法及临床意义。方法回顾性分析102例上皮性卵巢癌患者进行系统性腹膜后淋巴结切除术的临床病理资料。结果A水平切除淋巴结20～31个，平均26．5个；B水平切除淋巴结26～35个，平均31．4个。淋巴结转移数1～12个。盆腔淋巴结转移率随着临床分期增加及组织分化恶性度增加而升高（P=0．000，有非常显著性差异）。浆液性腺癌淋巴结转移率（61．7％）高于黏液性腺癌淋巴结转移率（20．0％）（P=0．005，有显著性差异）。39例分期探查中9例淋巴结转移，23．1％的患者临床分期上升至Ⅲc期。结论系统性腹膜后淋巴结切除术是卵巢癌准确分期的前槔和必萼条件。同时也是临床治疗的重要组成部分．对指导临床治疗及预测预后有重大意义。Objective To investigate the clinic way and study of systematic retroperitoneal lymphaderectomy in patients with epithelial ovarian cancer. Methods From Jan. 2000 to Dec. 2003,102 patients with epithelial ovarian cancer, who underwent systematic retroperltoneal lymphaderectomy in operation, were retrospectively studied. Results There were 20-31 nodes, 26.5nodes on an average in lymphaderectomy of A level; there were 26-35 nodes, 31.4 nodes on an average in lymphaderectomy of B level. Rates of retroperitoneal node metastases increased followed by the advanced clinic stages. Patients Cases of retroperitoneal node metasteses increased followed by the poor grades of pathology and the advanced clinic stages （P = 0. 000）. Rates of lymph nodes metastases with serous cystadenocarcinoma and mucinous eystadenocarcinoma were 61.7% and 20.2% （P = 0. 005）respectively. There were 9 eases comprehensive staging laparotomy, clinic staging of 23.1% patients was stage Ⅲc. Conclusion Systematic retroperationeal lymphaderectomy was not only an apart of comprehensive staging laparotomy but also a basic treatment in patients with ovarian cancer.

关 键 词：上皮性卵巢癌 系统性腹膜后淋巴结 

分 类 号：R735.2[医药卫生—肿瘤]