癌症患者生育力保存研究及伦理思考  

Research on Fertility Preservation of Cancer Patients and Ethical Considerations

作　　者：王金星 陈偶英[1] 陈燕[1] 康焱红 方芳 黎美玲 夏青青 WANG Jinxing;CHEN Ouying;CHEN Yan;KANG Yanhong;FANG Fang;LI Meiling;XIA Qingqing(School of Nursing,Hunan University of Chinese Medicine,Changsha 410208,China)

机构地区：[1]湖南中医药大学护理学院,湖南长沙410208

出　　处：《中国医学伦理学》2022年第10期1053-1059,共7页Chinese Medical Ethics

基　　金：2020年湖南省哲学社会科学基金“医疗保险制度改革背景下癌症患者就医获得感研究”(20WTC08);湖南省中医肿瘤护理研究生培养创新实践基地(湘教通[2019]248号47)。

摘　　要：近年来,医学手段的不断更新及辅助生殖技术的快速发展,为癌症患者保存并恢复生育力提供了有效途径,但在具体应用过程中仍面临许多挑战。针对国内外癌症患者生育力保存现状,放疗、化疗、手术等影响癌症患者生育力的因素,常见的癌症患者生育力保存方法如胚胎、卵母细胞、精子冻存、卵巢移植等技术进行综述,并从遵循癌症患者知情同意、执行癌症患者生育力保存相关法律法规、实施伦理委员会全程监督三个角度对相关伦理问题加以思考,以期为癌症患者生育力保存后续研究提供思路。In recent years,the continuous updating of medical means and the rapid development of assisted reproductive technology provide an effective way for cancer patients to preserve and restore fertility,but it still face many challenges in the specific application process.In view of the status quo of fertility preservation of cancer patients at home and abroad,factors affecting fertility of cancer patients such as radiotherapy,chemotherapy and surgery,and common fertility preservation methods of cancer patients such as embryos,oocytes,sperm cryopreservation,ovarian transplantation and other technologies,this paper considered related ethical issues from the following aspects:following the informed consent of cancer patients,executing the relevant laws and regulations on fertility preservation of cancer patients,and implementing the whole process supervision of the ethics committee,so as to provide ideas for the follow-up research on fertility preservation of cancer patients.

关 键 词：癌症患者 生育力保存 生殖伦理 辅助生殖技术 

分 类 号：R-052[医药卫生]