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保留生育功能的手术治疗是交界性卵巢肿瘤(borderline ovarian tumors,BOTs)年轻患者保留生育能力的最佳治疗手段。保留生育功能的手术不仅对早期BOTs患者较安全,对于晚期有卵巢外种植的患者,若病灶可完全摘除,也可接受此种手术治疗。术后妊娠率可观,且大部分可通过自然方式妊娠。术后妊娠对病程影响较小,妊娠并发症也很少发生。早期BOTs患者术后不孕可给予促排卵药物治疗,但晚期患者则需要谨慎对待。若病变累及双侧卵巢不宜进行保守性手术,可选择胚胎冻存、卵母细胞冻存、卵巢组织冻存、接受卵母细胞赠送等方法。
Surgical treatment to preserve fertility is the best treatment for fertility retention in younger patients with borderline ovarian tumors (BOTs). Surgery to preserve fertility is not only safer for patients with early BOTs, but also for those patients who have late-stage ovarian implantation if the lesion is completely removed. Postoperative pregnancy rate is considerable, and most of the pregnancy by natural way. Postoperative pregnancy has little effect on the course of the disease, pregnancy complications rarely occur. Early BOTs patients with postoperative infertility can be given ovulation induction therapy, but patients with advanced need to be treated with caution. If the lesions involving bilateral ovaries should not be conservative surgery, you can choose embryo cryopreservation, oocyte cryopreservation, ovarian tissue cryopreservation, receive oocyte donation and other methods.