年轻宫颈癌患者的卵巢移位术(附30例临床分析)

对22~40岁的30例宫颈癌患者在治疗同时实施卵巢移位。30例中I_b期7例Ⅱa期1例,Ⅱb期19例,Ⅲb期3例。手术前与治疗结束后随访取血清标本测FSH、LH、E_2和P,术中置银夹作定位标志。30例中20例在施行宫颈癌根治术同时实施卵巢移位,10例实施单纯卵巢移位,术后21例接受了盆腔放疗。盆腔X线片示移位卵巢距放疗野外侧缘6cm以上,血清激素测定结果也表明基本上达到了保护卵巢功能的目的。宫颈癌特别是鳞癌,卵巢转移罕见,故对45岁以下的宫颈癌患者应考虑予以卵巢移位,其位置以中上侧腹部的结肠旁沟最为简便、安全。本组病例随访半年以上,未发现与移位有关的并发症,但应密切随访,提高患者的生存质量。

Transposition of ovary in young patients with cervical carcinoma: analysis of 30 cases

From August 1992 to March 1993, 30 cases of patients with cervical carcinoma were treated and received unilateral transposition of ovary in Hunan Tumor Hospital. They were 22-40 years old. Of them, 7 cases had stage I b, 1 stage Ⅱa, 19 stage Ⅱb and 3 Ⅲb lesions. FSH,LH,E2 and P level in serum were separately measured prior to and after treatment. Silver clips were placed on ovary as a mark for radiation. Of 30 cases, 10 received ovary trasposition, 20 were treated with radical surgery at the mean time. After surgery 21 cases were treated with pelvic radiotherapy. Pelvic X-ray photography showed that translocated ovary situated outside radiotherapy field and at least 6 cm beyond the edge. Serumhormone tests also revealed that ovary function basically remained. Ovary metastasis is rare in cervical carcinoma especially inicervical squamous carcinoma. Refering to foreign literature, the authors recommend that ovary transposition should be performed in cervical cancer patient who is under 45.Paracolonic su-lcus in upper middle lateral abdomen is the most cenvenint and safest translocating position.No complication related to ovary transposition appeals over half year of follow-up.Follow-up survey must perform to improve patients' living quality.