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化疗对卵巢癌腹膜后淋巴结转移疗效观察

Observation of Chemotherapeutic Effect on Ovarian Cancer Metastasited to Retropertioneal Lymphnodes

  • 摘要: 目的 本研究目的是决定化疗对卵巢癌腹膜后淋巴结转移癌的作用。方法 1986—1995年,我院收治86例原发性卵巢癌行盆腔淋巴结清扫与腹主动脉旁淋巴结切除术。分为两组:前5年44例单纯手术组,后5年42例化疗加手术组。结果 Ⅲ期,单纯手术组,盆腔淋巴结转移率56.25%(9/16),腹主动脉旁淋巴结转移率31.25%(5/16)。化疗加手术组各为56.6%(17/30)与30%(9/30),两组统计学上无显著性差异(P>0.05)。化疗加手术组42例中有淋巴结转移21例,21例中组织学上有效者2例,占9.5%。结论 本研究表示化疗对卵巢癌腹膜后淋巴结疗效不佳。

     

    Abstract: Objective The purpose of this study was to determine the chemotherapelltic Effect on ovarian cancer metastasited to Retropertioneal lymphnodes. Methods From 1986 to 1995,86 patients with primary ovarian cancer underwent pelvic lymphadenectomy and paraortic lymphadenectomy in our hospital.The patients were divided into two groups.There were 44 cases who underwent alone operation during the prior 5 years and 42 cases who underwent operation and chemotherapy during the posterior 5 years. Results In the stage Ⅲ,The incidences of pelvic lymphatic metastasis and paraaotic lymphatic metastasis were 56.25%(9/16) and 31.25%(5/16)separately in the alone operation group,But 56.6%(17/30) and 30%(9/30) in the operation plus chemotherapy group.There was no significant difference statislycally in the two groups(P>0.05). There were 21 cases who suffered from lymphatic matastasis in 42 cases in the operation plus chemotherapy group.There were two patients,who had good therapeutic effect(9.5%)histologyly in 21 patients. Conclusion s This study indicated that chemotherupy was of no good therapeutic effect to retroperitioneal lymphatic metastasis of ovarian cancer.

     

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