摘要
目的通过分析接受肿瘤细胞减灭术的临床Ⅲ期卵巢上皮性癌患者的手术切净与基本切净的5年存活率,探讨残余肿瘤的大小对其预后的影响。方法自1982年1月至1995年6月,共收治临床Ⅲ期卵巢上皮癌186例,对其进行回顾性研究,并对结果进行统计学处理。结果43例肿瘤切除干净者,其5年存活率为325%;76例肿瘤基本切净者的5年存活率为214%(P<001)。基本切净者,32例术后1年内化疗≥6疗程的5年存活率为252%,44例术后1年内化疗<6疗程的5年存活率为201%。结论肿瘤切净者的5年存活率高于肿瘤基本切净者的5年存活率。术后1年内化疗≥6疗程可提高基本切净者的5年存活率。
Objective To study the 5-year survival rate of complete tumor excision and residual lesions ≤2cm in stage Ⅲ epithelial ovarian cancer,and observe the effect on survival of debulking surgery.Methods 186 cases of stage Ⅲ epithelial ovarian cancer who received treatment in PUMC hospital from Jan,1982 to June,1995 were analyzed retrospectively.Results The 5-year survival rate of 43 cases(36 1%)having complete tumor excision was 32 5%,while for 76 cases (63 9%)having residual lesions≤2cm was 21 4%(P<0 01).Of the cases with residual lesions ≤2cm,the 5-year survival rate of 32 cases having chemotherapy ≥6 cycles in one year was 25.2%,while 44 cases having chemotherapy <6 cycles in one year was 20 1%.Conclusions The 5-ycar survival rate of stage Ⅲ epithelial ovarian cancer having complete tumor excision was higher than that with residual lesions ≤2cm.Of the cases with residual lesions ≤2cm,the patients having chemotherapy ≥6 cycles in one year could raise their 5-year survival rate \ \
出处
《中国实用妇科与产科杂志》
CAS
CSCD
北大核心
1999年第2期105-106,共2页
Chinese Journal of Practical Gynecology and Obstetrics
关键词
卵巢肿瘤
切除术
上皮癌
药物疗法
预后
Epithelial ovarian cancer\ Debulking surgery\ Chemotherapy