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1984年8月至1991年1月,18例卵巢上皮癌病人术后经多疗程化疗后,临床检查未发现肿瘤征象,进行了二次探查术。手术方式采用开放式腹腔镜加剖腹探查术。二次探查的结果发现6例(33%)有残存癌(即阳性),Ⅰ、Ⅱ期病人17%(1/6)阳性,Ⅲ、Ⅳ期病人41%(5/12)阳性;前一次手术未发现残存癌者全部阴性,有残存癌者46％(6/13)阳性。说明二次探查结果与临床分期、前一次手术残存癌有关,依此可评价卵巢癌术后及多疗程化疗后的疗效,探查结果可作为对病人进一步处理的依据.
From August 1984 to January 1991, 18 cases of epithelial ovarian cancer patients after multi-course chemotherapy after surgery, the clinical examination found no signs of tumor, the second exploration. Operative open laparoscopic plus laparotomy. Secondary exploration found that 6 (33%) had residual cancer (positive), 17% (1/6) were positive in stage I and II, and 41% (5/12) were positive in stage III and IV; Surgery was not found in all remaining negative cancer, 46% of survivors (6/13) were positive. This shows that the results of the second exploration and clinical stage, the previous residual cancer surgery, which can be evaluated after ovarian cancer and after multi-course chemotherapy, the results of exploration can be used as a basis for further treatment of patients.