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进行性卵巢癌的标准手术是子宫全功+双侧附件切除+大网膜切除+盆腔内血管周围淋巴结全清,能达到最佳手术效果者不超过1/3。为了提高治疗进行性卵巢癌的疗效,以下4点是必要的:①扩大手术;②术前化疗;③防止SLL阴性组复发;④提高有大量腹水的全身不良病例的疗效。 术前化疗:因术前化疗保持了血液循环,利于抗癌剂向肿瘤输入。并且若术前化疗有效,可以提高最佳手术率,避免扩大手术。术前化疗适应症是①际准手术不能达最佳手术;②CDDP有效的浆液性或类内膜性腺癌。其方
Progressive ovarian cancer surgery is the standard uterine full power + bilateral attachment resection + omentum resection + pelvic perivascular lymphadenectomy, can achieve the best surgical effect of no more than 1/3. In order to improve the efficacy of treatment of ovarian cancer, the following four points are necessary: ① expansion of surgery; ② preoperative chemotherapy; ③ prevent recurrence of SLL negative group; ④ improve the efficacy of a large number of cases of systemic ascites. Preoperative chemotherapy: Preoperative chemotherapy to maintain blood circulation, which is conducive to the introduction of anti-cancer drugs to the tumor. And if the preoperative chemotherapy is effective, can improve the optimal operation rate, to avoid expanding the operation. Preoperative chemotherapy indications are ① may not be up to the best surgical prospective surgery; ② CDDP effective serous or endometrial adenocarcinoma. Its side