Ⅰ期宫颈鳞癌术中卵巢移位对卵巢功能的近期影响  

The recent effect of ovary dislocation on ovary function during the operation of cervical squamous carcinoma

作　　者：王天成[1] 徐静[1] 陈涛[1] 

机构地区：[1]漯河市中心医院妇一科,河南省漯河462000

出　　处：《中国基层医药》2007年第9期1455-1456,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的观察Ⅰ期宫颈鳞癌术中卵巢移位患者卵巢功能的近期变化。方法选择Ⅰ期宫颈鳞癌患者12例,术中将双侧卵巢及其血管经腹膜后移至脐水平以上3cm的腹腔内,固定于后腹膜上。与单纯子宫切除术12例患者进行对照,观察术后1年内卵巢功能变化。结果12例Ⅰ期宫颈鳞癌卵巢移位者术后1个月时血清促卵泡生成素(FSH)、雌二醇(E_2)下降至最低(P<0.05);3个月时略有回升,但仍低于单纯子宫切除术患者(P<0.05)。术后6个月卵巢功能恢复至术前水平。手术后更年期症状卵巢移位者较单纯子宫切除者多,但差异无统计学意义(P>0.05)。结论Ⅰ期宫颈鳞癌术中卵巢移位对卵巢功能有短暂影响,术后3个月内的追加治疗应慎重。Objective To study the recent effect of ovary dislocation during the operation of cervical squamous carcinoma with stage Ⅰon ovary function. Methods 12 cases with cervical squamous carcinoma of gtage Ⅰwere treated with surgery. During the operation bilateral ovaries with blood vessels were dislocated the abdominal cavity over the umbilical line through postperitoneum and fixed on the postperitoneum. 12 cases were hysterectomized simply as the control. The change of ovary function was observed in one year after the operation： Results The levels of FSH and E2 were decreased in the dislocating group （ P 〈 0.05 ）. Alter 3 months the levels improved slightly, but less than those of the control. Alter 6 months ovary function recovered to the levels before surgery. Alter the operation the menopause syndrome in the dislocating group was more than that of the control. However there was no statistical significance. Conclusions The ovary dislocation of cervical squamous carcinoma with stage Ⅰtias temporary effect on the ovary function：. It should be cautious to add therapy in three months after the operation.

关 键 词：宫颈肿瘤 手术 术中 卵巢移位 卵巢功能 

分 类 号：R737.33[医药卫生—肿瘤]