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目的:分析睾丸非精原细胞瘤的疗效。材料与方法:1975年~1990年收治睾丸非精原细胞瘤40例。大部分行患侧高位结扎精索逆行睾丸肿块切除术,部分行腹膜后淋巴结清扫术(RPLND)。29例行术后放疗,并联合化疗。结果:全组5年生存率为45%,Ⅰ、Ⅱ、Ⅲ期分别为73.9%(17/23),10%(l/10)和0%(O/7)(P<0.01)。行RPLND者5年生存率为64.3%(9/14)。结论:据文内资料,病期愈早,疗效愈好;睾丸非精原细胞瘤行RPLND存活率高。主要死亡原因是远处转移。
Objective: To analyze the efficacy of testicular non-seminoma. Materials and Methods: From 1975 to 1990, 40 cases of testicular non-seminoma were treated. Most of the line of high ligation stenosis retrograde testicular lump resection, some underwent retroperitoneal lymph node dissection (RPLND). 29 cases of postoperative radiotherapy, combined with chemotherapy. Results: The 5-year overall survival rate was 45%. The overall survival rates were 73.9% (17/23), 10% (1/10) and 0% (0/7) in stage I, II and III, respectively. 01). The 5-year survival rate of RPLND was 64.3% (9/14). Conclusion: According to the information in the literature, the earlier the disease is, the better the curative effect is; the high survival rate of RPLND in testicular non-seminoma. The main cause of death is distant metastasis.