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首页|期刊导航|广西医科大学学报|二次肿瘤细胞减灭术联合化疗治疗复发性卵巢癌的临床效果及对患者生活质量的影响

二次肿瘤细胞减灭术联合化疗治疗复发性卵巢癌的临床效果及对患者生活质量的影响

王飞鹏 张晓英 姜晓春 王琳

广西医科大学学报2017,Vol.34Issue(8):1157-1160,4.
广西医科大学学报2017,Vol.34Issue(8):1157-1160,4.DOI:10.16190/j.cnki.45-1211/r.2017.08.010

二次肿瘤细胞减灭术联合化疗治疗复发性卵巢癌的临床效果及对患者生活质量的影响

Clinical effect of secondary cytoreductive surgery combined with chemotherapy on recurrent ovarian cancer and its influence on patients' life quality

王飞鹏 1张晓英 1姜晓春 1王琳1

作者信息

  • 1. 陕西省咸阳市中心医院妇科,咸阳 712000
  • 折叠

摘要

Abstract

Objective:To investigate the clinical efficacy of secondary cytoreductive surgery (CRS) combined with chemotherapy on recurrent ovarian cancer and its influence on the quality of life (QOL) of patients.Methods:80 patients with recurrent ovarian cancer treated in our hospital from September 2010 to September 2011 were selected and divided into a surgery group (CRS plus chemotherapy) and a control group (chemotherapy only),with 40 cases in each group.The clinical efficacy and the quality of life 6 months after treatment were compared between the two groups.Results:The rates of complete remission (CR) and partial remission (PR) were 70.0% and 12.5% in surgery group,respectively.The rates of CR and PR in control group were 45.0% and 17.5 %,respectively.The response rate of surgery group was significantly higher than that of control group (82.5 % vs.62.5%,P<0.05).6 months after treatment,the physical,emotional,functional well-being,ovarian cancer-specific concerns and total QOL scores were significantly higher in surgery group than those in control group (P<0.05).The median survival time of patients in surgery group was (34.2±3.2) months,which was higher than that of control group (21.9±4.8) months (P<0.05).No significant differences in the survival rates were found in the first and second year between the two groups (P>0.05),but in the third and fifth year,the survival rate of surgery group was markedly higher than that of control group (P<0.05).Conclusion:Secondary CRS combined with chemotherapy could effectively improve the clinical efficacy of recurrent ovarian cancer,prolong the survival time and enhance QOL of patients.

关键词

二次肿瘤细胞减灭术/复发性卵巢癌/生活质量

Key words

secondary cytoreductive surgery/recurrent ovarian cancer/quality of life

分类

医药卫生

引用本文复制引用

王飞鹏,张晓英,姜晓春,王琳..二次肿瘤细胞减灭术联合化疗治疗复发性卵巢癌的临床效果及对患者生活质量的影响[J].广西医科大学学报,2017,34(8):1157-1160,4.

广西医科大学学报

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