晚期上皮性卵巢癌腹膜后淋巴结清扫的临床价值

许冬娣, 汪艳

许冬娣, 汪艳. 晚期上皮性卵巢癌腹膜后淋巴结清扫的临床价值[J]. 实用临床医药杂志, 2013, (9): 156-158. DOI: 10.7619/jcmp.201309062
引用本文: 许冬娣, 汪艳. 晚期上皮性卵巢癌腹膜后淋巴结清扫的临床价值[J]. 实用临床医药杂志, 2013, (9): 156-158. DOI: 10.7619/jcmp.201309062
XU Dongdi, WANG Yan. Clinical value of retroperitoneal lymph nodes dissection on advanced epithelial ovarian cancer[J]. Journal of Clinical Medicine in Practice, 2013, (9): 156-158. DOI: 10.7619/jcmp.201309062
Citation: XU Dongdi, WANG Yan. Clinical value of retroperitoneal lymph nodes dissection on advanced epithelial ovarian cancer[J]. Journal of Clinical Medicine in Practice, 2013, (9): 156-158. DOI: 10.7619/jcmp.201309062

晚期上皮性卵巢癌腹膜后淋巴结清扫的临床价值

基金项目: 中国高校医学期刊临床专项资金
详细信息
  • 中图分类号: R737.31

Clinical value of retroperitoneal lymph nodes dissection on advanced epithelial ovarian cancer

  • 摘要: 目的 评价腹膜后淋巴结清扫对晚期上皮性卵巢癌预后的影响.方法 将67例晚期上皮性卵巢癌患者随机分为研究组32例及对照组35例.研究组行卵巢肿瘤细胞减灭术+术后规范化疗,对照组行卵巢肿瘤细胞减灭术+腹膜后淋巴结清扫术+术后规范化疗,对比2组手术时间、术中出血量、术后病率及术后1、3、5年生存率的差异.结果 研究组术中出血量、手术时间、术后病率均显著小于对照组.2组1、3、5年生存率均无显著差异;而2组术后残留癌灶<1.0 cm的患者3、5年生存率均显著高于同组残留癌灶≥1.0cm的患者.结论 理想的肿瘤减灭术是影响晚期上皮性卵巢癌患者预后的重要因素,而腹膜后淋巴结清扫不能提高晚期上皮性卵巢癌的生存率,反而使围手术期的并发症显著提高.
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出版历程
  • 发布日期:  2013-10-17

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