保留卵巢功能的卵巢肿瘤手术的临床研究

目的探讨对卵巢肿瘤患者行保留卵巢功能手术的可行性及其意义.方法回顾分析我院接受保留卵巢功能手术的71例卵巢肿瘤患者的临床资料.对双侧良性肿瘤行剜除术,肿瘤较大者行全肿瘤切除,保留卵巢皮质部分健康组织;对恶性肿瘤根据患者年龄、生育要求、肿瘤临床分期、病理类型及随访条件等确定选择保留卵巢功能手术,术后均加用化疗.结果术后90%患者按月行经,72%患者妊娠分娩,97%的良性肿瘤临床完全治愈,90%的恶性肿瘤临床完全缓解.结论对于卵巢肿瘤施行保留卵巢功能的手术是可行,且有效,但要严格掌握手术指征.

A Clinical Study of Ovarian Tumours in Conserving Ovarian Function

Objective: To investigate the practicable and value in the operation of conserving ovarian function for ovarian tumours. Methods: 71 cases of ovarian tumours admitted in our hospital from February 1988 to February 1998 were analysed retrospectively. Bilateral ovarian tumours, if benign, should be carried out of their ovarian beds. If bigger, whole tumours should be removed and the part of healthy ovarian tissues should be conserved. If maligant, it should be depended on the patients age, desire for children, clinical staging , pathological classification and follow-up condition and so on. Chemotherapy was accepted by the maligant tumours. Results: After operation, the regular menses rate was 90 %, the pregnancy and delivery rate was 72 %, the clinical cure rate of benign ovarian tumours was 97 %, and the clinical complete remission rate of maligant tumours was 90 %. Conclusion: The operation of conserving ovarian function for ovarian tumours was practicable and effective, but the indication should be taken seriously.