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    中晚期卵巢癌综合治疗的临床疗效观察

    Observation of the clinical effects of comprehensive treatment of middle and late ovarian cancer

    • 摘要: 目的观察、分析中晚期卵巢癌综合治疗的临床疗效。方法选取徐州医科大学附属医院妇科中晚期卵巢癌患者60例,行肿瘤细胞减灭术联合化疗的综合治疗,分析其临床疗效。结果综合治疗后,Ⅱ期卵巢癌患者的5年生存率为50.00%,Ⅲ期卵巢癌患者为47.50%,2组的差异无统计学意义(P>0.05);经肿瘤细胞减灭术后无残留病灶患者的 5 年生存率为57.89%,而残留病灶在1 cm及以下的患者为31.82%,2组的差异有统计学意义(P<0.05);化疗8个疗程的中晚期卵巢癌患者的5年生存率为61.54%,而化疗疗程不满8个的中晚期卵巢癌患者为33.33%,2组的差异有统计学意义(P<0.05)。结论综合治疗的疗效与卵巢癌的临床分期无明显关联性;肿瘤细胞减灭术后病灶的残留情况对疗效有显著影响;化疗达8个疗程,则患者的5年生存率增高。

       

      Abstract: Objective To observe and analyze the clinical efficacy of comprehensive treatment of middle and late ovarian cancer. MethodsA total of 60 middle and late ovarian cancer patients in our department were selected to undergo comprehensive treatment including tumor reductive surgery and chemotherapy before efficacy analysis. ResultsAfter comprehensive treatment, the 5-year survival rate was 50.00% for ovarian cancer patients at phase Ⅱ, and 47.50% for those at phase Ⅲ, without statistical difference (P>0.05). After tumor reductive surgery, the 5-year survival rate was 57.89% for patients without residual lesions, which was remarkably different from 31.82% for those with ≤ 1 cm residual lesions (P<0.05). Furthermore, the 5-year survival rate was 61.54% for middle and late ovarian cancer patients after 8 treatment durations of chemotherapy, which was remarkably different from 33.33% for those receiving chemotherapy less than 8 treatment durations (P<0.05). ConclusionsThere is no significant relationship between the efficacy of comprehensive treatment and the clinical stage of ovarian cancer. The residual lesions after tumor reductive surgery can greatly affect efficacy. Patients show a high 5-year survival rate after 8 treatment durations of chemotherapy.

       

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