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目的了解对卵巢上皮癌手术加化疗后的患者行二次探查术(二探术)的临床价值。方法对 6例上皮性卵巢癌患者行二探术,年龄23～53岁不等,1例未婚未育,5例已婚已育。Ⅰ期1例,Ⅱ期3例,Ⅲ期2例。以铂类药物为主的腹腔静脉联合化疗平均10个疗程。结果二探距第1次手术时间:1例6个月,1 例10个月,2例12个月,1例14个月,1例3年。2例阴性,4例阳性,总的二探术阳性结果为60％。结论二探术有一定价值,但应慎重选择符合二探术定义、经济条件好的患者,而不是常规施行。
Objective To investigate the clinical value of double exploration (second exploration) in patients with epithelial ovarian cancer after surgery plus chemotherapy. Methods Six cases of epithelial ovarian cancer patients underwent two detectives, ranging in age from 23 to 53 years old. One was unmarried and the other unmarried. Five married and educated children. 1 case of stage Ⅰ, 3 cases of stage Ⅱ and 2 cases of stage Ⅲ. Intraperitoneal chemotherapy with platinum-based drugs on average 10 courses. Second probing distance from the first operation time: 1 case of 6 months, 1 case of 10 months, 2 cases of 12 months, 1 case of 14 months, 1 case of 3 years. 2 cases were negative, 4 cases were positive, the total two detective positive results were 60%. Conclusion Second exploration has some value, but should be carefully selected in line with the definition of two detectives, patients with good economic conditions, rather than the routine implementation.