卵巢癌术后切口相关并发症发生原因及防治进展

Reasons of Ovarian Cancer Postoperative Incision-Related Complications and Progress of Prevention and Cure

手术是卵巢癌的主要治疗手段,目前仍以经腹方式为主,因而术后切口愈合不良时有发生,自身因素,如年龄、肥胖、糖尿病、原发病或伴发症、腹内压增高、心理应激、女性激素水平,医源性因素,如新辅助化疗、术前准备、术中操作、二次手术、术后处理,引起的切口脂肪液化、感染、切口裂开、切口疝以及癌细胞切口种植转移等相关并发症均可影响卵巢癌术后切口愈合,进而严重影响卵巢癌患者预后。对卵巢癌术后切口相关并发症的发生原因、治疗和预防进行总结,有益于促进患者术后恢复。

Surgery is the main therapeutic tool for ovarian cancer currently, and laparotomy operation is the main method. However, the surgical wound faulty union is more likely to occur, and the patients＇ self-factors like age, obesity, diabetes, primary diseases or concomitant diseases, intraabdominal pressure increase, psychological stress, female hormones level, and iatrogenie factors like neoadjuvant chemotherapy, preoperative preparation, intraoperative procedures, second operation, treatments after surgery, which induce fat liquefaction, infection, disruption, incisional hernia as well as implantation metastasis can affect the wound healing of ovarian cancer,and even the prognosis of the patients. Understanding the reasons of complications,treaments and prevention could improve the patients＇ postoperative recovery.