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本文收集并分析１９９６年８月至１９９７年１２月我院施行盆腔及腹主动脉旁淋巴结清扫术的卵巢癌病例２ｌ例。结果表明，腹膜后淋巴结转移率３３．３３％，其中盆腔淋巴结转移率２８．５７％，腹主动脉旁２３．８１％，上皮性癌４０％；Ⅰｃ，Ⅱｃ及Ⅲ期为５３．８５％，Ⅰａ－ｂ，Ⅱａ－ｂ期末发现淋巴结转移；术中下腔静脉损伤１例。笔者认为，腹主动脉旁淋巴结清扫术具有确切的临床价值；对不同期别与不同病理类型的病倒要区别对待；上皮性肿瘤、生殖细胞类肿届中的Ⅰａ期病例的手术范围尚需进一步探讨；Ⅰｂ期以上的病例应争取同期或二探时行系统腹膜后淋巴结切除（除外Ⅳ期病例）。该项手术的主要危险为下腔静脉损伤，凡局部严重粘连及炎症，术野暴露不良病例，均不宜同时接受此项手术。
This article collected and analyzed 21 cases of ovarian cancer from August 1996 to December 1997 in our hospital for pelvic and abdominal aortic lymph node dissection. The results showed that the retroperitoneal lymph node metastasis rate was 33.33%, of which the pelvic lymph node metastasis rate was 28.57%, the paraaortic artery was 23.81%, and the epithelial carcinoma was 40%; Ic, IIc and III were 53.85%. Lymph node metastasis was found at the end of stage Ia-b and IIa-b. One case of intra-operative inferior vena cava injury was found. The author believes that abdominal paraaortic lymph node dissection has definite clinical value; different phases and different pathological types of disease should be treated differently; the scope of surgery for epithelial tumors, germ cell swollen phase Ia cases still need to Further discussion; Cases above the Ib period should strive for simultaneous or second exploration system retroperitoneal lymph node resection (except for IV cases). The main risk of this operation is the injury of the inferior vena cava, where severe local adhesions and inflammation, and poor surgical field exposure, should not be performed at the same time.