论文部分内容阅读
目的探讨对宫颈癌患者行广泛子宫切除加盆腔淋巴结清扫术对其卵巢功能的影响。方法将95例宫颈癌患者,随机分为观察组(49例)和对照组(46例)。观察组患者行广泛子宫切除加盆腔淋巴结清扫术,并进行卵巢移位;对照组患者仅行广泛子宫切除加盆腔淋巴结清扫术。对两组患者的疗效进行比较。结果观察组患者手术时间明显长于对照组,出血量明显多于对照组;观察组中3例术后2年出现卵巢功能衰退,占6.1%,而对照组中6例术后2年出现卵巢功能衰退,占13.1%。结论由于卵巢组织对放疗呈高敏感性,即使盆腔外放疗也可明显影响卵巢功能,对于宫颈癌根治术后需要放疗的患者,行卵巢移位术能保护宫颈癌患者的卵巢功能。
Objective To investigate the effect of extensive hysterectomy and pelvic lymphadenectomy on the ovarian function in patients with cervical cancer. Methods 95 cases of cervical cancer were randomly divided into observation group (49 cases) and control group (46 cases). Patients in the observation group underwent extensive hysterectomy plus pelvic lymphadenectomy and ovarian transposition. Patients in the control group underwent extensive hysterectomy plus pelvic lymphadenectomy. The efficacy of the two groups of patients were compared. Results The operation time of the observation group was significantly longer than that of the control group, and the bleeding volume was significantly more than that of the control group. In the observation group, 3 cases showed ovarian function decline at 2 years after operation, accounting for 6.1% of the observation group. In the control group, 6 cases showed ovarian function 2 years after operation Recession, accounting for 13.1%. Conclusion Due to the high sensitivity of ovarian tissue to radiotherapy, even if pelvic radiotherapy can significantly affect ovarian function, ovarian transposition can protect the ovarian function of cervical cancer patients who require radiotherapy after radical operation of cervical cancer.