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自1980年1月至1988年9月,因卵巢恶性肿瘤术时而作阑尾切除的有30例,其中属于原发性卵巢上皮性癌的有26例,其他卵巢恶性肿瘤4例,发现阑尾转移的有7例,占23.3±7.7%(7/30),均发生于卵巢上皮性癌,其阑尾转移率为26.9±8.7%(7/26)。按FIGO分类,Ⅰ期3例、Ⅱ期4例、Ⅲ期18例、Ⅳ期1例。仅有晚期卵巢上皮性癌发生阑尾转移,其发生率为36.8±11.1%(7/19)。本组资料表明,阑尾是卵巢上皮性癌的转移部位之一,尤其是晚期卵巢癌很易发生阑尾转移,故在术时应常规切除阑尾,以减少术后复发。根据随机抽样调查表明,阑尾切除组与对照组的术后病率发生率相比,差异无显著性。
From January 1980 to September 1988, there were 30 cases of appendectomy for ovarian cancer, of which 26 cases belonged to primary epithelial ovarian cancer and 4 cases of other malignant ovarian tumors. There were 7 cases, accounting for 23.3±7.7% (7/30), all occurred in epithelial ovarian cancer. The migration rate of appendix was 26.9±8.7% (7/26). According to FIGO classification, there were 3 cases of stage I, 4 cases of stage II, 18 cases of stage III, and 1 case of stage IV. Only late epithelial ovarian cancer developed appendix metastases, and the incidence was 36.8±11.1% (7/19). This group of data shows that appendix is one of the metastatic sites of epithelial ovarian cancer, especially in advanced ovarian cancer is easy to occur appendix metastasis, so the appendix should be routinely removed during surgery to reduce postoperative recurrence. According to a random sample survey, there was no significant difference in the postoperative morbidity rate between the appendectomy group and the control group.