| 邢 洁,党海莹,陈 鑫,等.支架法肠转流术替代卵巢癌超根治术中保护性造口的应用与探索[J].肿瘤学杂志,2026,32(9):709-714. |
| 支架法肠转流术替代卵巢癌超根治术中保护性造口的应用与探索 |
| Stent-Based Diverting Technique as an Alternative to Protective Ostomy in Ultra-Radical Cytoreductive Surgery for Ovarian Cancer： Application and Exploration |
| 投稿时间：2026-09-16 |
| DOI：10.11735/j.issn.1671-170X.2026.09.B001 |
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| 中文关键词: 卵巢肿瘤 肿瘤细胞减灭术 肠瘘 保护性造口术 支架法肠转流术 |
| 英文关键词:ovarian neoplasms cytoreductive surgery intestinal fistulas protective ileostomy stent-based diverting technique |
| 基金项目:2026年度国家中医药综合改革示范区（浙江省）科技共建重点项目（GZY-KJS-ZJ-2026-040） |
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| 中文摘要: |
| 摘 要：卵巢癌致死率居女性生殖系统恶性肿瘤首位，多数患者确诊时已属晚期，肿瘤细胞减灭术是治疗基石。晚期患者减瘤术中常需肠修补或肠切除吻合，并伴多种肠瘘高危因素，回肠末端保护性造口是常用的应对策略，但术后并发症发生率高，影响总生存期和生活质量，亟需更优替代方案。浙江省肿瘤医院已开展可降解的支架法肠转流术，作为卵巢癌超根治术中替代保护性造口的新技术，旨在降低肠瘘发生率、保障化疗按计划完成、改善生活质量，并进一步探索延长生存时间。 |
| 英文摘要: |
| Abstract： Ovarian cancer has the highest mortality rate among female reproductive system tumors. Most patients are diagnosed at an advanced stage， and debulking surgery is the cornerstone of treatment. Patients often require intestinal repair or resection and anastomosis， which confers multiple high-risk factors for intestinal fistula. Therefore， protective ileostomy is adopted. However， the incidence of postoperative complications is high， which affects overall survival and quality of life. Thus， there is an urgent need for a better alternative solution. Zhejiang Cancer Hospital has carried out a stent-based diverting technique (SDT) for intestinal reversion， as a new technology to replace protective ileostomy in ovarian cancer. The aims are to reduce the incidence of intestinal fistulas， ensure planned completion of chemotherapy， improve the quality of life， explore strategies for prolonging survival， and verify its health economic value. |
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