阴道延长及卵巢移位术在年轻宫颈癌患者治疗中的应用  

Neovaginal Reconstruction and Ovarian Transposition in Radical Surgery ofCervical Cancer in Young Woman

作　　者：奚庆华[1] 史锦云[1] 张玉泉[1] 施建飞[1] 叶青[1] 鞠少卿[1] 

机构地区：[1]江苏省南通大学附属医院妇产科,226001

出　　处：《实用癌症杂志》2006年第5期493-494,498,共3页The Practical Journal of Cancer

摘　　要：目的研究宫颈癌根治术的同时行阴道延长及卵巢移位术,对提高年轻患者生存质量的意义。方法选择有手术适应症的年轻宫颈癌患者12例,在作根治术的同时,行卵巢移位和阴道延长术,另选择同期宫颈癌患者18例行常规根治术作为对照,用化学发光法检测患者手术前后血清中促卵泡素(FSH)、雌二醇(E2)的水平,进行比较。结果研究组术前、术后2个月患者血清FSH、E2值分别是(6.52±1.90)U/L、(120.15±44.21)ng/ml,(9.56±3.42)U/L、(108.01±39.15)ng/ml,手术前后比较无显著性差异(P>0.05);对照组术前、术后2个月患者血清FSH、E2值分别是(7.15±2.01)U/L、(105.14±41.25)ng/ml,(30.25±5.26)U/L、(70.82±32.10)ng/ml,手术前后比较有显著性差异(P<0.05)。研究组延长后阴道长度为(8.52±0.95)cm,对照组术后阴道长度为(5.15±1.31)cm,两组相比有显著性差异(P<0.05)。结论阴道延长及卵巢移位术可提高年轻宫颈癌患者的术后生存质量。Objective To study 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 There were 12 young woman with stage Ⅰ、Ⅱ Carcinoma of cervix. The operation of lengthened vaginal and ovarian transposition was performed as radical surgery. In contrast, There were 18 patients with stage Ⅰ、Ⅱ Carcinoma of cervix was performed in radical hysterectomy only. The levels of FSH and E2 in serum were examined with method of chemoluminescence respectively. Results The levels of FSH and E2 showed that there was no significant difference in vaginal lengthened and ovarian transposition group （P 〉 0.05）. The vagina length in vaginal lengthened group was more longer than that in control group. Conclusion It is suggested that the operation of lengthened and ovarian transposition is benefit to improve the life quality of young woman with stage Ⅰ、Ⅱ Carcinoma of cervix.

关 键 词：宫颈癌 阴道延长 卵巢移位 生存质量 

分 类 号：R737.33[医药卫生—肿瘤]