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为提高进展性卵巢癌疗效,必须①通过扩大手术增加最佳手术;②通过术前化疗增加最佳手术;③对以往不予手术的剖腹二次探查(SLL)阴性组(25％～30％复发)复发病例采取对策;④提高有大量腹水且全身状态不良病例的疗效。本文就②、③、④概述如下。 术前化疗:术前化疗保持血运优于术后化疗,抗癌药可顺利向肿瘤移行。如果术前化疗有效,则可提高最佳手术率和避免扩大手术。其适应症为:①依据剖腹检查所见,标准手术子宫全摘+两附件
In order to improve the curative effect of advanced ovarian cancer, we must (1) increase the best operation by expanding the operation, (2) increase the optimal operation by preoperative chemotherapy, (3) treat the SLL negative group (25% -30% Relapse) recurrent cases to take countermeasures; ④ improve the status of a large number of ascites and systemic adverse effects. This article on ②, ③, ④ summarized as follows. Preoperative chemotherapy: Preoperative chemotherapy to maintain blood circulation is better than postoperative chemotherapy, anti-cancer drugs can be successfully transferred to the tumor. If preoperative chemotherapy is effective, you can improve the optimal rate of surgery and avoid expanding the operation. The indications are: ① According to the caesarean section examination, the standard surgical uterus pick + two attachments