年轻宫颈癌患者卵巢移位术后卵巢功能分析  

Ovarian function follow-up results analysis of ovary transposition in young patients with cervical cancer

作　　者：王秀娟[1,2] 王建六[1] 郭春海[3] 魏丽惠[1] 

机构地区：[1]北京大学人民医院妇科,北京100044 [2]北京市第六医院妇产科,北京100007 [3]北京市垂杨柳医院,北京100022

出　　处：《中国医刊》2013年第4期33-35,共3页Chinese Journal of Medicine

摘　　要：目的分析宫颈癌患者卵巢移位术后的卵巢功能情况。方法 48例行卵巢移位术的年轻宫颈癌(<45岁)患者,通过术后随访围绝经期综合征量表、测定血中女性激素值评估卵巢内分泌功能。结果 20例患者术后未接受放疗,其中16例(80%)保留正常卵巢内分泌功能;28例术后接受辅助放疗,8例(28.6%)保留正常卵巢功能,两组之间差异有显著性(P<0.01)。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功能,值得进一步研究和改进卵巢移位和放疗的方法。Objective Analysis of transposed ovary function in young women with cervix carcinoma. Method Totaly 48 young women（ age from 27 years old to 44 years old） with cervix carcinoma were investigated in Peking Universi- ty People＇ s Hospital from Sep 2007 to July 2012. Ovaran endocrine fuetion was estimated by following these patient＇ s Kupperman score system, serum FSH, E2. Result Eighty percent patients who did not accept postoperative radiotherapy kept normal ovary function. On the contrary, only twenty-eight point six percent patients who accepted postoperative radiotherapy kept the normal ovary function. There was statistically significant difference between the two group（ all P〈0.01 ）. Conclusion Ovarian tansposition can protect the ovarian function for the young patients with cervix carcinoma. But if the patient accept the postoperative radiotherapy, the ovarian function will he direct influence. So,it needs further study to make better the method of ovaryain transposition and radiotherapy.

关 键 词：宫颈癌 卵巢移位术 卵巢功能 

分 类 号：R711[医药卫生—妇产科学]