卵巢非上皮性恶性肿瘤生育力保护

卵巢非上皮性恶性肿瘤约占卵巢肿瘤的10%,且多发生于年轻女性,手术和放化疗虽然能够使患者获得生存机会,但常带来不同程度的生育功能损害,造成其生理及心理上的痛苦,所以在改善卵巢恶性肿瘤患者生存率的同时,尽可能保护患者的生育力成为治疗中的重要问题。卵巢非上皮性癌尤其是恶性生殖细胞肿瘤保留生育功能治疗的效果良好,文章就卵巢非上皮性恶性肿瘤保护生育力的手术治疗、术后辅助治疗的实施及辅助生殖技术的应用等问题进行阐述。

Fertility preservation in nonepithelial ovarian malignancy.

Non-epithelial ovarian malignant tumors account for about 10% of ovarian tumors，and mostly develops in young women.Although surgery and radiotherapy and chemotherapy can make patients get the chances of survival，but often lead to different degrees of damage to reproductive function，causing physical and psychological suffering.While improving the survival rate of patients with malignant ovarian tumors，it is an important research issue to protect the reproductive function of patients as much as possible in the treatment of malignant ovarian tumors.The fertility-sparing treatment has a good effect on non-epithelial ovarian malignant tumors，especially malignant ovarian germ tumors.In this article，we discuss the surgical treatment of fertility protection，the implementation of postoperative adjuvant treatment and the application of assisted reproductive technology in non-epithelial ovarian malignant tumors.