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目的:探讨宫颈鳞癌术中卵巢移位对卵巢功能的影响。方法:对16例宫颈鳞癌术中将双侧卵巢及其血管经腹膜后移至脐水平以上两横指的腹腔内,固定于后腹膜上。与单纯子宫切除16例进行对照,观察术后半年内卵巢功能的变化。结果:宫颈癌16例卵巢移位者术后1个月时血清FSH、E2下降至最低(P<0.01);3个月时略有回升,仍低于单纯子宫切除者(P<0.05)。术后6个月卵巢功能恢复至术前水平。手术后更年期症状,卵巢移位者较单纯子宫切除者多,但无统计学意义。结论:宫颈鳞癌术中卵巢移位对其功能近期有一定影响,术后追加治疗应予考虑。
Objective: To investigate the effect of ovarian transposition on ovarian function in cervical squamous cell carcinoma during operation. Methods: Sixteen patients with squamous cell carcinoma of the cervix underwent intraperitoneal transurethral resection of the ovary and its blood vessels to the abdominal cavity above the level of the umbilical cord, and fixed on the retroperitoneum. Compared with simple hysterectomy in 16 cases, the changes of ovarian function within 6 months after operation were observed. Results: The serum levels of FSH and E2 decreased to the lowest at 16 months after operation in 16 cases of cervical cancer (P <0.01). The levels of FSH and E2 increased slightly at 3 months and were still lower than those of patients with simple hysterectomy (P <0.05). Ovarian function returned to preoperative level at 6 months after operation. Menopausal symptoms after surgery, ovarian transplants more than simple hysterectomy, but no statistically significant. Conclusion: Ovarian transposition of cervical squamous cell carcinoma has a certain effect on its function in the near future. Additional treatment after operation should be considered.