上皮性卵巢癌腹膜后淋巴结切除90例临床分析

Clinical analysis of 90 cases with retroperitoneal lymphadenectomy in epithelial overian cancer

目的:探讨卵巢癌腹膜后淋巴结转移的相关因素和腹膜后淋巴结切除的临床意义。方法:2001年3月至2003年4月,我院收治上皮性卵巢癌90例。均在全身麻醉下,行全子宫、双附件、大网膜切除后,再行系统性腹膜后淋巴结切除。观察所切除淋巴结数量、转移数目、转移部位与分期、组织分化及病理类型的关系。结果:随着临床分期增加和组织分化差,盆腔淋巴结转移率升高,差异有显著性(P<0.01)。不同病理类型间淋巴结转移总体差异无显著性(P=0.79)。结论:卵巢癌随着分期增加,其淋巴结转移率升高,淋巴结受累范围也增大。腹膜后淋巴结转移是卵巢癌分期的一个重要指标,发生淋巴结转移的卵巢癌患者只有切除淋巴结,才有可能治愈。

Objective：To investigate the related factors of lymph node metastasis and the clinical value of systematic retroperitoneal lymphaderectomy in patients with epithelial ovarian cancer. Methods ： All 90 cases with epithelial ovarian cancer underwent systematic retroperitoneal lymphaderectomy in operation were retrospectively studied. Results： There were 18 - 29 nodes,24.5nodes on an average in lymphaderectomy of A level, there were 23 - 31 nodes ; 27.4 nodes on an average in lymphaderectomy of B level. Rates of retroperitoneal lymphatic metastasis increased with the clinical stage and pathological stage. Conclusion：The rate of retroperitoneal lymphatic metastasis incereases with clinical stage. Retroperitoneal lymphatic metastasis is an important sign for clinical stage in patients with epithelial ovanan cancer.