年轻宫颈癌患者卵巢移位临床分析

Clinical analyse of ovarium transposing on young cervical carcinoma patients

目的 :探讨宫颈癌患者卵巢移位的临床意义。方法 :收集 1999年 9月至 2 0 0 2年 1月间我院妇科收治的 10例绝经前患者在手术治疗的同时行卵巢移位术的临床资料 ,分析术后患者的更年期症状 ,并与临床特征进行比较。结果 :① 10患者行单侧卵巢移位术 8例 (右侧 3例 ,左侧 5例 ) ,双侧卵巢移位术 2例 ;②术后辅助治疗 5例 ,均为宫颈浸润癌术后辅助放疗和 /或化疗 ,分别于术后 6～ 18个月出现更年期症状 ,术后未辅助治疗 5例 ,其中 1例出现更年期症状。结论 :宫颈癌患者术中行卵巢移位术 ,可保留卵巢的功能 ,但术后辅助放疗仍直接影响卵巢的功能 ,卵巢移位术的临床价值 ,有待进一步探讨。

Objective: To assess the clinical effects of ovarium transposing operation on cervical carcinoma patient. Methods: Collecting the clinical data of the premenopause patients during operation treatment carry out ovarium transposing in the department of gynaecology in our hospital from Sep. 1999 to Jan. 2002, analyzing the climacteric symptom of the patients after operation treatment, then comparing with the clinical characteristic. Results: ①Eight patients have single side ovarium transposing operation(three patients right side and five patients left side),two patients have double side ovarium transposing operation.② Five patients with auxiliary treatment after operation, auxiliary radiotherapy and/or chemotherapy after cervical infiltrating carcinoma operation and occur climacteric symptom. Five patients without auxiliary treatment after operation, one of five patients occurs climacteric symptom. Conclusion: For the cervical carcinoma patients, during operation carry out ovarium transposing operation, can keep the function of the ovarium, but the auxiliary radiotherapy after the operation can make a directly effect on the function of ovarium. Is proved to be further investigated.