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本文报道对10例Ⅱ期晚卵巢上皮癌综合治疗的体会。治疗方法为腹壁下动脉插管化疗,疗程次数视病情需要而定。化疗后在腹水消退、痞块缩小的基础上施行手术。术后再加用腹腔化疗、放射治疗和静脉化疗2年。经上述综合治疗后有6例存活2年以上,其中2例已存活3年左右。本文认为卵巢上皮癌较晚期患者,尤其并发腹水者以先给动脉化疗为宜,待腹水消退、病灶缩小后,再行剖腹手术。对术前未经化疗而手术者,发现不能彻底手术治疗者,宁可暂不手术,改给动脉化疗,等待有利时机再行手术及综合治疗。
This article reports 10 cases of Ⅱ advanced epithelial ovarian cancer treatment experience. Treatment for abdominal artery intubation chemotherapy, the number of treatment depending on the condition may be. Chemotherapy in ascites subsided, the reduction of the lump on the basis of physical operation. After surgery plus intraperitoneal chemotherapy, radiation therapy and intravenous chemotherapy for 2 years. After the above comprehensive treatment of six cases survived more than 2 years, of which 2 cases have survived about 3 years. This article believes that patients with advanced epithelial ovarian cancer, especially those with concurrent ascites should be given arterial chemotherapy is appropriate, until the ascites subsided, the lesion shrink, and then laparotomy. Preoperative chemotherapy without surgery and found that those who can not be completely surgery, would rather temporarily surgery, change to arterial chemotherapy, waiting for favorable timing and then surgery and comprehensive treatment.