卵巢癌患者阑尾切除术的临床意义

The clinical role of appendectomy in surgicalprocedures for ovarian cancer

对１９８６年８月至１９９３年８月卵巢上皮性癌并于手术治疗时切除阑尾患者９６例进行回顾性分析，以探讨卵巢癌患者阑尾切除术的临床意义。９６例中，经病理诊断为阑尾转移者１９例（１９．８％），所有阑尾转移均发生在Ⅲ～Ⅳ期患者（３３．３％）。比较卵巢癌各种组织学类型以及左、右侧卵巢癌的阑尾转移率，差异均无显著性（Ｐ＞０．０５）。结果表明，阑尾不是早期卵巢癌的首先转移部位，对Ⅰ～Ⅱ期患者不必常规切除阑尾，而对Ⅲ～Ⅳ期患者行阑尾切除术有助于减少术后残留病灶。

o assess the clinical role of appendectomy in thesurgical procedures for ovarian cancer. we have evalu-ated retrospectively 96 cases of epithelial ovarian cancertreated from Aug. 1986 to Aug. 1993. In 19 cases theappendiceal involvement was pathologically confirmed( 19. 8%). All of the patients with appendiceal metastases were found in stages Ⅲ～Ⅳ, with an incidenceof 33. 3%. There was no significant statistical dif-ference between either the histologic type of ovariancancer or the side (left or right) of the ovarian involve-ment and the incidence of metastasis in the appendix.We conclud, with these results, that the appendix wasnot a primary site involved in the early stages.Appen-dectomy is not to be regarded as a routine surgical pro-cedures in the early Ⅰ～Ⅱ stages of ovarian cancer , butit may help to reduce residual disease in advanced pa-tients.