年轻宫颈癌患者的卵巢移位术(附30例临床分析)  

Transposition of ovary in young patients with cervical carcinoma: analysis of 30 cases

作　　者：廖革望[1] 易济民[1] 江啸音[1] 唐迪红[1] 张家舫[1] 杨珍[1] 

机构地区：[1]湖南省肿瘤医院,410006

出　　处：《现代妇产科进展》1995年第2期103-106,共4页Progress in Obstetrics and Gynecology

摘　　要：对２２￣４０岁的３０例宫颈癌患者在治疗同时实施卵巢移位。３０例中Ｉｂ期７例Ⅱａ期１例，Ⅱｂ期１９例，Ⅲｂ期３例。手术前与治疗结束后随访取血清标本测ＦＳＨ、ＬＨ、Ｅ２和Ｐ，术中置银夹作定位标志。３０例中２０例在施行宫颈癌根治术同时实施卵巢移位，１０例实施单纯卵巢移位，术后２１例接受了盆腔放疗。盆腔Ｘ线片示移位卵巢距放疗野外侧缘６ｃｍ以上，血清激素测定结果也表明基本上达到了保护卵巢功能的目的。From August 1992 to March 1993, 30 cases of patients with cervical carcinoma were treated and received unilateral transposition of ovary in Hunan Tumor Hospital. They were 22-40 years old. Of them, 7 cases had stage I b, 1 stage Ⅱa, 19 stage Ⅱb and 3 Ⅲb lesions. FSH,LH,E2 and P level in serum were separately measured prior to and after treatment. Silver clips were placed on ovary as a mark for radiation. Of 30 cases, 10 received ovary trasposition, 20 were treated with radical surgery at the mean time. After surgery 21 cases were treated with pelvic radiotherapy. Pelvic X-ray photography showed that translocated ovary situated outside radiotherapy field and at least 6 cm beyond the edge. Serumhormone tests also revealed that ovary function basically remained. Ovary metastasis is rare in cervical carcinoma especially inicervical squamous carcinoma. Refering to foreign literature, the authors recommend that ovary transposition should be performed in cervical cancer patient who is under 45.Paracolonic su-lcus in upper middle lateral abdomen is the most cenvenint and safest translocating position.No complication related to ovary transposition appeals over half year of follow-up.Follow-up survey must perform to improve patients' living quality.

关 键 词：子宫颈肿瘤 卵巢移位 外科手术 

分 类 号：R737.330.5[医药卫生—肿瘤]