宫颈癌患者卵巢移位部位的探讨(附46例分析)  

The observation of the ovarian function and the two kinds of the removed-ovary on young patients with cervical cancer

作　　者：毛志平[1] 江瑜[1] 刘佳华[1] 赵采[1] 

机构地区：[1]福建省立医院,350001

出　　处：《福建医药杂志》2001年第5期25-27,共3页Fujian Medical Journal

摘　　要：目的　探讨年轻宫颈癌患者行卵巢移位术对卵巢功能的影响及移位于皮下、腹腔两组卵巢移位术患者的临床比较。方法　 46例年轻宫颈癌患者行根治术的同时进行了卵巢移位 ,其中卵巢移位于皮下者 2 4例 ,移位于腹腔内2 2例 ,观察对比两组患者的临床表现 ,及术前、术后 1个月、 6个月、 1年分别抽血查 FSH、L H、E2。结果　皮下组有 18例出现周期性腹痛 ,15例出现局部肿块 ,腹腔组均无 ,两组比较有显著性差异 (P<0 .0 1) ;皮下组 2例出现卵巢囊肿 ,4例出现急性腹痛 ,6例出现更年期症状 ;腹腔组 4例出现更年期症状 ,无卵巢囊肿、急性腹痛发生 ,两组比较无显著性差异 (P>0 .0 5 )。皮下组有 3例术后 1个月 FSH、L H升高 ,1例 E2下降达绝经后水平 ;腹腔组有 2例术后1个月 FSH、L H升高达绝经后水平 ,术后 6个月时复查均恢复正常 ,两组比较无显著性差异 (P>0 .0 5 )。结论　年轻宫颈癌患者行卵巢移位术后能保持良好的卵巢功能 ,从临床表现上看 ,保留的卵巢移位于腹腔内优于移位于皮下。Objective To study the influence of the removed ovary function in the young women with cervical cancer.And to compare the clinic presentations of the two methods:the ovary removed into the subcutaneous tissue or in the abdominal cavity.Method 46 young women with cervical carcinoma had been received radical hysterectomy,and ovary remove.Among them,24 patients had been removed under the subcutaneous,and 22 patients in the abdominal cavity.All patients were examined FSH,LH,E2 in blood before operation,and 1 month,6 months,1 year after operation respectively.Result In the subcutaneous group,there were 18 patients suffered from periodic abdominal-pain,and 15 patients had local lump,while in the abdominal group no patient had the two symptoms.There are significant difference in the two groups(P<0.01).In the subcutaneous group,2 patients had ovarian cyst,4 patients suffered from acute abdominal-pain,6 patients had climacteric syndromes.In the abdominal group,climacteric syndromes occurred in 4 patients,while no ovarian cyst nor acute abdominal-pain happened.There is no significant difference in them(P>0.05).1 month after operation,3 patients in subcutaneous group whose level of FSH,LH and 1 patient whose E2 reached the postmenopausal level.,while only 2 patients in abdominal group whose FSH,LH reached postmenopausal level,and they all had got normal 6 months after operation.There is no significant difference in them(P>0.05).Conclusion The ovary removed for the young patients with cervical carcinoma remain fine ovarian function.Judged by clinic presentations,the abdominal group is superior to subcutaneous group.

关 键 词：年轻宫颈癌 卵巢移位术 

分 类 号：R737.33[医药卫生—肿瘤]