自体带血管蒂的卵巢腹腔内移植的临床应用

Clinical application of autoplastic celioovary transplantation with its vascularity

观察放疗对腹腔内移植的卵巢功能的影响。对５例年轻的宫颈癌患者，在行广泛性子宫切除及盆腔淋巴结清除术毕，游离卵巢动、静脉并将卵巢移植于侧腹壁。于放疗前后分别测血ＦＳＨ、ＬＨ、Ｅ２、Ｐ及检查阴道细胞成熟指数。结果显示：５例患者放疗后卵巢功能均正常，性生活满意。提示自体带血管蒂的卵巢腹腔内移植，放疗后可保留卵巢功能，性功能不受影响，可提高患者的生活质量。

The influence of radiation therapy on the ovary function after transplantation was observed. Five young cases with cervical carcinoma who were performed the radical hysterectomy with a vascular ovary transplantation were investigated.They were all performed radical hysterectomy with pelvic lymphadenectomy but remained a normal ovarium which was shifted to the lateral abdominal wall.After operation,they all took radiation therapy.And their ovarian function were dynamically monitored by vaginal smears as well as examination of the serum level of FSH,LH,E2 and P. After radiation the ovarian secretion was normal,patients′ character and their sexual desire remained unchanged before and after operation.The results suggest that in autoplasic celioovary transplantation with its vascularity,ovary and sexual function remains normal after radiation and the method can enhance the patients′ living quality.