宫颈癌根治术同时行卵巢移位及阴道延长术的临床意义  

Ovarian Transposition and Neovaginal Reconstruction in Radical Surgery of Cervical Cancer in Young Woman

作　　者：何成章[1] 浦红[1] 吕蓓[1] 邱旭军[1] 夏晓艾[1] 

机构地区：[1]苏州大学第四附属医院妇产科,江苏无锡214062

出　　处：《苏州大学学报（医学版）》2005年第5期877-879,共3页Suzhou University Journal of Medical Science

摘　　要：目的观察宫颈癌广泛手术同时行卵巢移位和阴道延长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17例,行宫颈癌根治术同时行卵巢移位和阴道延长术,作为研究组;取同期常规宫颈癌广泛根治术13例作为对照组,并设正常中年妇女20例为正常组。采用化学发光法测定研究组术后及正常组的E2、FSH水平,并进行比较。结果保留卵巢组术后3个月FSH为11.34±7.47 U/L,E2值为146.44±52.16pg/ml,与正常组相比无显著性差异(P>0.05)。延长后阴道长度为7.76±0.41 cm,与对照组(6.17±0.83 cm)相比差异明显(P<0.05)。结论卵巢移位和阴道延长术可明显改善年轻宫颈癌患者生活质量,使其保持正常的生活和心理状态。Objective To observe the rate of ovarian transposition and vaginal lengthened intreafment of young petients with stage Ⅰ , Ⅱ carcinoma of cervix during the radical hysterectomy in order to improve the life quality. Methods There were 17 young patients with stage Ⅰ , Ⅱ Carcinoma of cervix for whom were ovarian transposition and lengthened vagina operation was performed as radical surgery, These patients were taken as ovarian conservation group. During the same time for 13 patients with carcinoma of cervix radical hysteretomy was performed, These patients were taken as the control group. From twenty normal women blood were only taken for FSH, E2 levels determination. These patients were taken as the normal women group. Results The E2 and FSH levels were 11.34 4±7.47 U/L, 146 ± 52.16 pg/ml respectively, 3 months after operation in the ovarian conservation group, compared with normal women group （7.87 ± 3.88 U/L, 161.79 ± 46.12 pg/ml） respectively, there was no significant difference between two groups. The vaginal length （7.76 ± 0.41 cm） in the ovarian group was more longer than that in the control group （6.17 ± 0.83 cm, P 〈 0.05）. Conclusion It is suggested that the oftenation of ovarian transposition of vaginal lengthened during the radical hysterectomy is of benifit to young of patients with early carcinoma of cervix. The recurrence of carcinoma of cervix is very low. The new methods can be recommended inclinical medicine, is of benifit to improving their life quality.

关 键 词：宫颈癌 卵巢 阴道 生存质量 

分 类 号：R737.33[医药卫生—肿瘤]