年轻宫颈癌患者保留卵巢功能术式的探讨

Preservation of ovarian function in young patients with early cervical carcinoma

目的 探讨对年轻早期宫颈癌患者行根治性治疗的同时 ,行卵巢移位术或卵巢移植术的可行性及意义。方法 2 4例宫颈癌中 3例行卵巢移植术 ,2 1例行卵巢移位术。结果 2 4例病人中 ,5例术后辅以放疗。 2例 (1例卵巢移植术 )测雌激素水平近绝经期水平。 3例于术后 5～ 12个月时卵巢功能恢复正常。 19例未接受放疗的病人中 ,17例术后卵巢功能均正常 ,2例失访。

Objective: To evaluate the significance and efficacy of ovary transposition and ovary transplantation in the young patients with early cervical carcinoma Methods: 24 patients with early cervical carcinoma who underwent radical hysterectomy were investigated in this study Of all the patients,3 underwent ovary transplantation and the rest accepted ovary transposition Results: The postoperative follow up demonstrated that the ovarian function recovered completely in 3 patients 5-12 months after the procedure and 2 patients were still at low estrogen level in the 5 patients who received radiotherapy The other patients who did not receive postoperative radiotherapy maintained normal ovarian function except 2 patients who missed the follow up Conclusion: Ovary transposition and ovary transplantation are useful and effective means in preserving ovarian function in young patients with early cervical carcinoma