年轻患者宫颈癌根治术中阴道延长及卵巢移位术的应用及意义

Application and significance of vaginal reconstruction and ovarian transposition for the young woman with cervical cancer

目的:观察宫颈癌根治术同时行阴道延长和卵巢移位术对年轻宫颈癌患者生存质量的改善情况。方法:选择年轻的早期宫颈癌患者15例作为研究组,在行宫颈癌根治术的同时行阴道延长和卵巢移位术;取同期常规宫颈癌根治术15例作为对照组,并设正常妇女15例为正常组。结果:延长后的阴道长度为(9.03±0.17)cm,与对照组(5.57±0.41)cm相比差异有统计学意义(P<0.05)。采用化学发光法测定研究组术后及正常组的FSH、E2水平,保留卵巢组术后3个月FSH、E2值分别为(8.23±3.81)mIU/ml和(60.6±7.49)pg/ml,与正常组相比差异无统计学意义(P>0.05)。结论:阴道延长和卵巢移位术可明显改善年轻宫颈癌患者的生存质量。

Objective： To observe the significance of vaginal lengthened and ovarian transposition of young patients with stage Ⅰ , Ⅱ carcinoma of cervix during the radical hysterectomy in order to improve the life quality. Methods： 15 young patients with stage Ⅰ , Ⅱ carcinoma of cervix were taken as study group. The operation of lengthened vaginal and ovarian transposition was performed in them. In contrast, 18 patients with carcinoma of cervix were taken as control group and the radical hysterectomy was performed only. . 15 normal women were taken as normal group. Results： The vaginal length （9. 03 ±0. 17cm） in study group was more longer than that （5.57±0. 41 cm） in control group （ P 〈 0. 05 ） . The FSH and E2 levels in study group were （ 8. 23 ± 3.81 ） mlU/ml and. （60.0 ± 7.49） pg/ml, 3 months after operation, compared with normal women group, Three was no significant difference between the study group and the normal group （P 〉 0. 05 ） . Conclusion： The operation of vaginal lengthened and ovarian transposition is benefit to improve the life quality of young woman with early carcinoma of cervix.