| Objective:The object of this study is the 87 patients with OCof NO.1 hospital during Jan. 2000 to Jlu. 2005.All of the cases aresubstantiated by after-operation pathology.Method:The generic and clinical information of this 87patients ,such as age,types of pathology, blood types,results of testand accessorial inspect ,treatment and so on,was coordinated andanalysed particularly.Results:The range of the patients age is from 10 to 77, medianage is 52.And 67% patients are in terminal stages(over â…¡stage);During all pathological types, the percent of epithelial ovariancancer is 79%,similar to the reports of relational medicalliteratures,while,other types' percent are also similar toliteratures.From blood types of 87 patients,we found 22 withtypeA(25%),29 with typeB (33%),19 with typeO (21%),17 withtypeAB(19%).So it indicate that ABO blood type system has notobvious difference from incidence of OC(p>0.05).Terminal patientswith OC have the much higher level of FIB and PLT than patientswith stage I and stage â…¡ ovarian cancer(p<0.05);but their PT,TTand APIT have not obvious difference(p>0.05),3 of them wereconfirmed on the syndrome called venous thrombus of crura byvenous color ultrasonic of crura.Among 47 patients who werediagnosed with ascites by B ultrasonic,the positive rate of cancer cellfounded from ascites is 89%, it is 93% from boold ascites.23 of 87patients were checked up CA125,18 of them were positive ,the rate is78%.Before all 87 patients' operation, by B ultrasonic,45 werediagnosed OC doubtless,23 were not determinately,14 werediagnosed tumour of pelvic cavity,so the positive rate of B ultrasonicis 78%.ECG of 31 patients were diagnosed change of ST-T,itspositive rate is 35%;All treatment of 87 patients was standardizationRx of OC.It is 77 patients that sibs replaced themselves to subscribethe file about operation,occupied 89%.Conclusion: Ovarian cancer(OC),in three familiar malignanttumors of gynecology, is the first virulent disease because of itsincidence and mortality.During the last ten years,because of itssecretiveness,shortless of the measure of sieving and earlydiagnosis,70 percent of the patients with OC are already terminalpatients. Both their curative effect and their prognosis are verybadly, five-year livability is only 20 percent to 30 percent,while itcan be 90 percent of those early diagnosis patients with OC.So itwould have sence in improving prognosis,if OC can be earlydiagnosis and patients with OC can be therapy in righttime.Otherwise,at present, the project of OC has beenstandardization, which is the synthetical therapy of primaryoperation, accessorial chemotherapy and other therapy methods,butthe curative effect is not still satisfaction, especially recurrentovarian cancer.Therefore,the study review the progression of thepathogeny, the diagnosis,the therapy and so on of OC.Combiningwith the patients with OC of NO.1 hospital,we discuss roles of thediagnosis,the therapy and the correlative factors for the creativeeffect and the prognosis of OC. |
PDF Full Text Request