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目的:探讨宫颈癌根治术中卵巢移位对卵巢功能的影响。方法:回顾性分析2004年1月至2007年12月我院收治的早期宫颈癌31例,行广泛性全子宫切除+盆腔淋巴结清扫术同时行卵巢移位,术后随访患者有无绝经期症状,彩色多普勒超声监测卵巢形态、位置、大小、血供及盆腔情况,并行阴道脱落细胞学检查,测定血清中FSH、E2水平并行统计学分析,以判断术前、术后卵巢功能的改变情况。结果:31例患者卵巢移位后未出现绝经期症状;31例移位卵巢的大小,形态,血供均无异常,卵泡有周期性增大,无卵巢脱落;术后按常规行阴道细胞学检查无一例发现异常;术前、术后血激素水平差异无显著意义(P>0.05)。结论:卵巢移位不影响年轻宫颈癌患者卵巢功能。
Objective: To investigate the effect of ovarian transposition on ovarian function during radical operation of cervical cancer. Methods: A retrospective analysis of 31 cases of early cervical cancer treated in our hospital from January 2004 to December 2007 was performed with extensive hysterectomy and pelvic lymphadenectomy and ovarian metastasis. The patients were followed up for symptoms of menopause , Ovarian morphology, location, size, blood supply and pelvic condition were monitored by color Doppler sonography. Vaginal cytological examination was performed. Serum levels of FSH and E2 were measured and statistically analyzed to determine the changes of ovarian function before and after operation Happening. Results: There was no postmenopausal symptom in 31 patients with ovarian transposition. There was no abnormality in the size, shape and blood supply of 31 cases of ovarian transposition. The ovarian follicles periodically increased without ovaries shedding. The patients underwent routine vaginal cytology No abnormalities were found in the examination. There was no significant difference in preoperative and postoperative levels of serum hormone (P> 0.05). Conclusion: Ovarian transposition does not affect ovarian function in young patients with cervical cancer.