宫颈癌根治术时保留卵巢并移位101例报告
Radical Hysterectomy and Ovarian Transposition in 101 cases with Cervical Carcinoma
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摘要: 部分早期浸润性宫颈癌根治术后需补充放疗。为提高年轻患者的生活质量,本研究于1990年1月至1997年6月对宫颈癌手术作了一些改进。对101例年轻早期宫颈癌施行根治术时将一侧或两侧的卵巢保留并移位至同侧的侧腹膜。该点距常规盆腔放射照野边缘有5cm的安全距离。经放射线剂量测定,证实卵巢总受量为中心点肿瘤量的177%。随访观察无性激素水平下降而导致的各种症状出现。对年轻早期浸润性宫颈癌避免术后补充放疗而破坏卵巢功能,有一定的临床价值。Abstract: Partial early-staged cervical carcinomas should receive radiotherapy of after radical hysterectomy .In order to improve the life quality of young patients, some improvements were made in 101 young patients with early-staged invasive cervical carcinoma from January, 1990 to June, 1997. During the radical hysterectomy, unilateral or bilateral ovaries w ere transposed and fixed to the ipsilateral peritoneum.There was a safety distance of 5 cm out of regular radiation field. The measurement of the ovary was 1.77%of the center field' s dosage by radiation dosimetry. We haven't found any symptoms caused by the decreased sex hormone level after follow-up. So this method has the clinical value to prevent ovary destroying by postoperative radiotherapy.
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Key words:
- Cervical Carcinoma /
- Surgical treatment /
- Ovarian transposition
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[1] 高永良，等.撕剥式盆腔淋巴清扫术.中华妇产科杂志，1991, 26(5):284 [2] 赵焕章译.子宫颈癌的卵巢保留问题一卵巢移植保留.国外医学妇产科学分册，1985(1-6):220 [3] 谭道彩，等.子宫颈癌于术治疗的经验(820例远期疗效分析).中华肿瘤杂志，1990(6):447 [4] 郑英，等.年轻宫颈癌患者卵巢移植与移位术五例报告.中华妇产科杂志，1990(1):51 [5] 工静波.人工放射绝经.临床放射肿瘤学.四川人民出版社.1989(3).278
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