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目的 研究Ⅲ期卵巢上皮性癌经满意的肿瘤细胞减灭术后的治疗及预后。 方法 回顾性分析45 例术后的治疗及预后。 结果 至随访日无癌生存者10 例,另35 例在化疗不同疗程中先后发现肿瘤未控或复发。其中半年内发现未控或复发者9 例(200 % ),术后1 年内发现未控或复发者22 例(488% ) 。 结论 为改善经满意的细胞减灭术后的晚期卵巢癌的预后,提高生存率,应重视化疗的规范化,合理选择多途径化疗及全网膜切除和腹膜后淋巴结切除问题。
Objective To study the treatment and prognosis of stage Ⅲ ovarian epithelial carcinoma after satisfactory cytoreductive surgery. Methods Retrospective analysis of 45 cases of postoperative treatment and prognosis. Results There were 10 cancer-free survivors at the follow-up date, and the other 35 patients were found to have uncontrolled or recurred tumors during different courses of chemotherapy. Among them, 9 cases (200%) were found to be uncontrolled or relapsed within 6 months and 22 cases (488%) were found to be uncontrolled or relapsed within 1 year after operation. Conclusion In order to improve the prognosis of advanced ovarian cancer after satisfactory cytoreductive surgery and to improve the survival rate, we should pay attention to the standardization of chemotherapy, rational selection of multi-path chemotherapy, and total anastomosis and retroperitoneal lymph node dissection.