[1]石亚利,梁华茂*,姚颖.腹腔镜卵巢恶性肿瘤再分期手术临床分析(附38例报道)[J].中国计划生育和妇产科,2018,(3):37-40.
 SHI Ya-li,LIANG Hua-mao*,YAO Ying.Clinical analysis of laparoscopic restaging surgery for ovarian malignancies (report of 38 cases)[J].Chinese Journal of Family Planning & Gynecotokology,2018,(3):37-40.
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腹腔镜卵巢恶性肿瘤再分期手术临床分析(附38例报道)
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《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2018年3期
页码:
37-40
栏目:
论著与临床
出版日期:
2018-03-25

文章信息/Info

Title:
Clinical analysis of laparoscopic restaging surgery for ovarian malignancies (report of 38 cases)
作者:
石亚利梁华茂*姚颖
北京大学第三医院妇产科
Author(s):
SHI Ya-li LIANG Hua-mao* YAO Ying
Department of Obstetrics and Gynecology, Peking University Third Hospital,Beijing 100191, P.R.China
关键词:
卵巢癌腹腔镜再分期手术
Keywords:
ovarian cancer laparoscopy re-staging surgery
分类号:
R 737.31
摘要:
目的分析卵巢恶性肿瘤腹腔镜再分期手术的临床特点,探讨腹腔镜在卵巢癌再分期手术的安全性及临床应用价值。方法回顾性分析北京大学第三医院妇产科2005~2016年行卵巢恶性肿瘤腹腔镜再分期手术38例患者的临床特点,并根据再分期手术后的手术-病理分期,给予辅助治疗及定期随访。结果所有患者均完成腹腔镜全面分期手术,其中16例患者行保留生育功能的全面分期手术。腹腔镜再分期手术时间114~521 min,平均2447 min。术中出血量10~500 mL,平均1147 mL。再分期手术中发现严重粘连8例,患者盆腹腔粘连程度与两次手术间隔时间、初次手术方式及手术范围均无显著相关性。术中平均切除盆腔淋巴结182个(7~33个),腹主动脉旁淋巴结47个(1~16个),术中及术后无严重并发症发生,无中转开腹病例。再分期术后患者分期上升率158 %(6/38)。中位随访32月(8~79个月),2例患者复发,总生存率100 %,无进展生存率947 %。结论腹腔镜下卵巢恶性肿瘤再分期手术相对安全可行,可作为早期卵巢恶性肿瘤再分期手术的一种选择。
Abstract:
ObjectiveTo analyze the characteristics and clinical values of laparoscopic restaging surgery of ovarian malignancies. MethodsThirty-eight patients who underwent laparoscopic restaging surgery in Peking University Third Hospital from 2005 to 2016 were ana

参考文献/References:

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更新日期/Last Update: 2018-03-25