70例老年妇女卵巢癌患者临床分析

目的：探讨老年妇女卵巢癌患者的发病及临床特征、诊疗经验.方法：对2012-03～2013-03笔者所在医院诊治的70例老年妇女卵巢癌的患者进行回顾性临床资料分析.结果：70例老年妇女卵巢癌患者中55例接受了手术治疗,15例因术前合并症较多或伴有严重的基础性疾病或晚期无法进行手术治疗,采取化疗、放疗等其它保守治疗方式.手术组的术后并发症的发生率显著低于化学治疗组患者（P＜0.05）,化疗的主要并发症为胃肠道不适及骨髓抑制,免疫功能低下等,而放疗的并发症主要是放射性直肠炎及阴道发生粘连等,而手术组则主要出现的术后并发症是切口愈合不良、延期愈合,尿潴留,泌尿系统感染及呼吸性疾病等,对症治疗后痊愈.结论：对于老年卵巢癌患者更宜尽早采用手术为主的治疗,早期预防和治疗是关键,老年卵巢癌术前合并症,术后并发症多.为防止因心肺功能障碍导致的死亡,必须在术前做好心肺功能的评估.若无法进行手术的老年患者,再采用化学或放射治疗.

Clinical case analysis of older women patients with ovarian cancer

Objective. To explore the incidence, clinical features of old female patients with ovarian cancer and the diagnosis and treatment experience. Methods. We retrospectively analyzed clinical data of 70 cases el- derly women patients with ovarian cancer who accepted treatment in the First Affiliated Hospital of Jiamusi U- niversity from March 2012 to March 2013. Results. Among 70 cases, 55 cases of them received surgical treat- ment in patients with ovarian cancer, and 15 cases are unable to undergo surgery because of too many preopera- tive complications, severe basic diseases or advanced stage. They are taken chemotherapy, radiation therapy, and other conservative treatment. The incidence of postoperative complications in Chemotherapy group is higher than that in surgical group （P 〈 0.05）. The main complications of chemotherapy are gastrointestinal discom- fort and bone marrow suppression, low immune function and so on. The main complication of radiation therapy are vaginal adhesion and radiation proctopathy, and delayed healing of incision surgical group mainly appeared, urinary tract infection, urinary retention. Postoperative complication such as respiratory tract infection, were recovered after treatment. Conclusion. As for elderly patients with ovarian cancer, it＇s more appropriate to use surgical treatment as soon as possible. Early prevention and treatment are the key. The preoperative complica- tions and postoperative complications appear much often for elderly patients with ovarian cancer. In order to prevent the death caused by cardiopulmonary dysfunction, cardiopulmonary function must be made in the pre- operative evaluation. Chemical or radiation therapies are used when old patients are too weak to undergo surgery.