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探讨女性大肠癌卵巢转移的高危因素。方法:对我院1990年4月至1996年4月经手术及病理证实的77例女性大肠癌进行临床及病理因素的单因素。多因素分析。结果:具有年龄≤50岁、肿瘤细胞分化程度低及肿瘤侵犯浆膜层三个因素者卵巢转移率明显增高。结论:上述三个因素是女性大肠癌卵巢转移的高危因素。建议女性大肠癌手术前常规作妇科及盆腔B超检查,术中认真探查双侧卵巢,高度重视卵巢的囊性改变。对未切除卵巢者,术后应密切随访卵巢情况。
To explore the high risk factors of ovarian metastasis in female colorectal cancer. Methods: Single factor of clinical and pathological factors in 77 cases of female colon cancer confirmed by operation and pathology from April 1990 to April 1996 in our hospital. multi-factor analysis. RESULTS: The ovarian metastasis rate was significantly higher in three factors with age ≤ 50 years, low tumor cell differentiation, and tumor invasion of the serosa. Conclusion: The above three factors are high risk factors for ovarian metastasis of female colorectal cancer. It is recommended that women undergo routine gynecologic and pelvic ultrasonography before surgery for colorectal cancer, and that the bilateral ovaries be carefully explored during surgery, and cystic changes of the ovary should be highly valued. For those who have not had oophorectomy, the condition of the ovary should be followed closely.