胸腔镜在诊治卵巢癌胸腔转移中的应用  

Application of Video-assisted Thoracoscopic Surgery in Advanced Ovarian Cancer with Thoracic Metastasis

作　　者：程峰[1] 朱笕青[1] 

机构地区：[1]浙江省肿瘤医院妇瘤科,杭州310022

出　　处：《国际妇产科学杂志》2015年第3期265-267,共3页Journal of International Obstetrics and Gynecology

基　　金：浙江省自然科学基金(Y2100593)

摘　　要：卵巢癌系女性常见恶性肿瘤,是致死率最高的妇科恶性肿瘤,严重威胁女性生命健康。大多数卵巢癌患者初次就诊时已属晚期。卵巢癌恶性程度高,易腹腔内种植转移,胸膜腔是卵巢癌腹腔外最常见的转移部位。目前晚期卵巢癌胸膜腔转移的发生率被低估,胸腔内转移灶未得到足够的重视。近年来,胸腔镜手术逐渐被用于晚期卵巢癌,有助于判断胸膜腔内的肿瘤受累状况,以便临床制定更合理的治疗方案。胸腔镜手术可使分期更准确,并使部分患者实现胸腔内病灶的减灭。该方法安全可行。Ovarian cancer is a common malignant tumor in female becoming one of the major causes of mortality among malignant gynecologic diseases, which threaten to the life and health of women seriously. Most women present with advanced-stage disease, Intraperitoneal dissemination is the most common route of spread of ovarian cancer. The pleural cavity is the most frequent extra-abdominal metastatic site. The rate of pleural involvement was probably underestimated in patients with advanced ovarian carcinoma, and pleural lesions have not been paid enough attention. In recent years, video-assisted thoracoscopic surgery（VATS） was gradually used in advanced ovarian cancer, which could delineate the extent of intrathoracic disease and modify the management strategy. It can also make more accurate surgical staging, and permits complete cytoreduction in some patients. VATS is safe and feasible.

关 键 词：胸腔镜 胸腔镜检查 卵巢肿瘤 肿瘤转移 肿瘤治疗方案 

分 类 号：R737.31[医药卫生—肿瘤]