卵巢癌肠转移58例综合治疗分析  

Comprehensive treatment of ovarian cancer complicated with intestinal metastasis:Clinical analysis of 58 cases

作　　者：李联昆[1] 姜阿英[1] 邱荣兰[1] 郝丽君 于颉[1] 田秀珍 

机构地区：[1]辽宁省肿瘤医院,110042

出　　处：《中国实用妇科与产科杂志》1993年第6期351-352,377,共3页Chinese Journal of Practical Gynecology and Obstetrics

摘　　要：我院妇科自1983年3月至1992早12月以手术和多药联合化疗治疗卵巢癌肠转移58例。其中肠切除35例,肿瘤剥除23例。肠切除的35例中,有13例(37.1％)需造人工肛门。术后60.3％患者的残余肿瘤直径小於2cm。术后随访超过2年40例,超过5年17例。2年与5年存活率分别为45％及23.5％。初次手术的Ⅲ期、Ⅳ期癌及残余肿瘤小於2cm的预后远比复发癌及残余肿瘤大於2cm的好。本文认为预防严重并发症是提高治愈率的关键。From March 1983 to December 1992, 58 cases of ovarian cancer complicated with intestinal metastasis were treated by operation and combined chemotherapy in our hospital. Among them, 35 cases accepted bowel segment resection because of deep invasion or penetration into intestinal lumens. The other 23 cases had superficial metastasis and the metastatic tumors were removed by denudation. Among 35 cases that accepted intestinal segment resection, 13 cases (37%)need artificial anus. The diameters of residual tumors of 60.3% postoperative patients were<2cm. There were 40 cases that were over 2 years follow-up survey and 17 cases were over 5 years follow-up survey. The survival rate of 2 years and 5 years are 45% and 23% respectively. The prognosis of the residual tumors which were<2cm and of the Ⅲ and Ⅳ stage carcinomas confirmed in the first operation was much better than that of recurrent carcinoma and of the residual tumors which were>2cm. Our conclusion was that the prevention of severe complication is the key to increase cure rate.

关 键 词：卵巢癌 肠转移 综合治疗 

分 类 号：R71[医药卫生—妇产科学]