Ⅳ期卵巢癌1例治疗体会暨相关文献复习  

Experience on the Treatment of Stage Ⅳ Ovarian Cancer and Associated Literature Review

作　　者：谢海慧 朱畅 刘新琼 

机构地区：[1]广东省深圳市人民医院,深圳518020

出　　处：《中国现代手术学杂志》2012年第4期296-298,共3页Chinese Journal of Modern Operative Surgery

摘　　要：目的探讨Ⅳ期卵巢癌的治疗原则与经验。方法介绍1例Ⅳ期卵巢癌患者的治疗过程,先后对患者实施理想肿瘤减灭术、Hartmann术,术后全身化疗,二次探查术,腹腔热灌注化疗,造瘘口还纳术后并发直肠阴道瘘,其后为治疗直肠阴道瘘多次手术如Parks术、阴道修补术、肠粘连松解术、肠排列术、回肠切除术及全肠外营养等治疗,并进行相关文献复习。结果经过2年多次手术,复查CT和CA125正常,患者进食、排便正常,直至2011年12月完全治愈。结论对于Ⅳ期卵巢癌病例,OCS是可行的首次手术方案;实施SLL时机应当谨慎。Objective To explore the treatment principles and summarized the experiences on the stage 1V ovarian cancer. Methods The clinical data of a patient with stage IV ovarian cancer were retrospectively analyzed. A serial of treatment were performed to the patient, as follows： optimal cytoreduetive surgery （OCS） , Hartmanng surgery, adjuvant chemotherapy, second look laparotomy （SLL）, intraperitoneal chemohyperthermia, the treatment of rectovaginal fistula after colostomy diaplasis, Parks surgery, colporrhaphy, enterolysis surgery, intestinal plication, ileal resection and total parenteral nutrition. And the associated literatures were reviewed. Results After two years of multiple surgeries, the diet and defecation of the case were achieved normal. No abnormality was found by CT scan and CA125 was restored to normal. And the tumor was completely remissed until Dec 2011. Conclusions OCS is the preferred surgery program for cases with stage IV ovarian cancer. The timing of SLL should be careful.

关 键 词：卵巢肿瘤 细胞减灭术 二次探查术 直肠阴道瘘 化学疗法 肿瘤 局部灌注 

分 类 号：R737.31[医药卫生—肿瘤]