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为了探讨不同治疗方法对上皮性卵巢癌预后的影响,回顾性分析78例初治上皮性卵巢癌患者的临床资料。所有患者随访至2009-01,5年生存率为45.0%(18/40),3年生存率为63.2%(36/57);残余病灶<2cm者3年和5年生存率分别为69.4%和48.4%,残余病灶>2cm者分别为38.5%和0;无腹水患者3、5年生存率高于合并腹水者>20%。回顾性分析结果提示,手术后有无残余病灶、残余病灶大小及有无腹水是影响卵巢癌患者预后的主要因素,手术方式的选择、腹膜后淋巴结清除对预后影响不显著。
In order to investigate the influence of different treatment methods on the prognosis of epithelial ovarian cancer, the clinical data of 78 patients with newly diagnosed epithelial ovarian cancer were retrospectively analyzed. All patients were followed up from 2009 to 01. The 5-year survival rate was 45.0% (18/40) and the 3-year survival rate was 63.2% (36/57). The 3-year and 5-year survival rates of residual lesions <2cm were 69.4% And 48.4%, residual lesions> 2cm were 38.5% and 0; 3, 5-year survival rate in patients without ascites was higher than those with ascites> 20%. Retrospective analysis of the results suggest that there is no residual disease after surgery, the size of the residual lesion and the presence of ascites are the main factors affecting the prognosis of patients with ovarian cancer. The choice of surgical approach, retroperitoneal lymph node dissemination has no significant effect on prognosis.