恶性肿瘤女性患者生育力保存的伦理思考  

Ethical Thinking on Fertility Preservation of Female Patients with Cancer

作　　者：杨青青 黎斐文 曾彬[1] 李慕军[1] YANG Qingqing;LI Feiwen;ZENG Bin;LI Mujun(Guangxi Reproductive Medicine Research Center,the First Affiliated Hospital of Guangxi Medical University,Nanning 530021,China)

机构地区：[1]广西医科大学第一附属医院广西生殖医学研究中心,广西南宁530021

出　　处：《中国医学伦理学》2022年第3期277-281,共5页Chinese Medical Ethics

基　　金：广西重点研发计划“女性生育力保存方法的研究与应用”(桂科AB20238002)。

摘　　要：生育力保存技术为年轻的恶性肿瘤患者提供了有效的生育资源保护方法,让患者能够在生育力受损后生育后代。但这项技术的发展引发了诸多社会和伦理争议。从伦理学角度出发,探讨年轻女性患者生育力保存实施中所面临的伦理问题,包括是否有必要进行生育力保存,所保存的生育力资源归属权的问题以及其实施过程中涉及的卫生资源公平公正分配的问题,并从伦理学角度对这些问题和争议进行辨析。同时讨论在提供生育力保存服务的过程中,应当如何遵循有利不伤害、知情同意、谨慎应用以及伦理监管等各项伦理原则,以期消除社会大众对生育力保存技术的疑虑和误解,促进生育力保存技术在临床上进一步开展和应用。Fertility preservation technology provides an effective method of protecting fertility resources for young patients with malignant tumors,allowing them to offspring after their fertility is impaired.However,the development of this technology has caused many social and ethical controversies.From the perspective of ethics,this paper discussed the ethical issues faced by young female patients in the implementation of fertility preservation,including whether it is necessary to preserve fertility,the ownership of the preserved fertility resources and the fair and equitable distribution of health resources involved in its implementation process,and identifies these issues and controversies from ethical view.In order to eliminate public doubts and misunderstandings about the technology of fertility preservation,ethical principles of benefit and non-harm,informed consent,prudent application,and ethical supervision have to be followed in the process of providing fertility preservation services,so as to promote the further development and application of fertility preservation technology.

关 键 词：生育力保存 伦理争议 伦理原则 恶性肿瘤 

分 类 号：R-052[医药卫生]