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本文回顾性地分析了我院收治的卵巢恶性肿瘤109例,对影响预后的主要因素,即临床分期、组织类型、手术方式及残余病灶等按一定的标准进行评分。评出的各单项分和总分与3年生存率对照,评出高危组与低危组之间的临界值为13分。总分≤7分的3年生存率为91.30%,8~12分的3年生存率为56.50%,≥13分的3年生存率为7.5%;总分≤7分组,化疗以4~6疗程为宜,>7分组化疗应在6疗程以上。该评分法不仅较准确地估计了预后,而且对术后化疗的进行亦起到指导作用。
This paper retrospectively analyzed 109 cases of ovarian malignancies admitted to our hospital, and scored the main factors affecting the prognosis, that is, the clinical stage, the type of tissue, the mode of operation and residual lesions according to a certain standard. The individual points and total score were compared with the 3-year survival rate, and the critical value between high-risk group and low-risk group was 13 points. The 3-year overall survival rate was 91.30% with a score of ≤7 points, 56.50% with 8-12 points, 7.5% with a 3-year rate of ≥13 points, and a score of ≤7 points , 4 to 6 courses of chemotherapy is appropriate,> 7 group should be more than 6 courses of chemotherapy. The score not only more accurately estimated the prognosis, but also to guide the conduct of postoperative chemotherapy.