102例卵巢癌肠道转移的手术疗效分析  

Surgical management of intestinal metastases in ovarian cancer——an analysis of 102 cases

作　　者：陈洁[1] 张志毅[1] 

机构地区：[1]上海医科大学附属肿瘤医院妇科,上海200032

出　　处：《中国癌症杂志》2000年第2期124-126,共3页China Oncology

摘　　要：目的 :研究晚期卵巢癌肠转移的手术治疗可行性。方法 :1986年 1月— 1996年 12月我院收治 10 2例卵巢癌肠转移患者 ,其中小肠转移 2 8例 (2 7 4% ) ,结肠直肠转移 6 5例 (6 3 7% ) ,小肠结肠多处肿块型转移 9例(8 3% )。对手术方式、术后化疗与生存情况等临床资料作回顾分析及卡方检验。结果 :所有病例随访 12月以上 ,3年生存率 34 5 1% ,五年生存率 2 7 71% ,生存中位数 14月。肠段切除、肿瘤局切组五年生存率分别为 31 37%和2 1 2 0 % ,规范化疗、不规范化疗者则为 35 95 %和 2 1 86 %。结论 :晚期卵巢癌肠转移患者应尽量采取切除转移之肠段 ,术后辅以规范化疗 。Purpose:to evaluate the operation and prognosis for the intestinal metastases of advanced ovarian cancer.Methods:Retrospective study of 102 cases with intestinal metastases of ovarian cancer who were treated from Jan 1986 to Dec 1996 in our department, in which 28 cases were the small intestine metastases, 65 cases were the colon metastases, 9 cases were both metastases. 43 patients received partial resection of the mass while 59 patients received complete resection of the metastatic intestinal tract and mass. Results:After over 12 months follow up, the total 3 year survival and 5 year survival were 34.51% and 27.71%.The median rurvival was 14 months. The 5 year survival in patients with complete resectino (31.37%) and standard chemotherapy (35.95%) were significant higher than the opposite groups (21.20% and 21.86%).Conclusions:Complete operation and standard chemotherapy may improve the prognosis of the intestinal metastases of advanced ovarian cancer.

关 键 词：卵巢癌 肠转移 预后 外科手术 

分 类 号：R737.310.5[医药卫生—肿瘤] R73－37[医药卫生—临床医学]