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目的:分析卵巢低度恶性潜能及恶性肿瘤的发病原因、临床表现及保留生育功能的手术方式对预后的影响,探讨最佳手术方案,降低复发率,提高妊娠率。方法:43例均行保留健侧卵巢及子宫的保留生育功能的手术,术后辅以放化疗。结果:36例无瘤生存,占83.7%,最长至今11年,最短19个月;2例术后复发再行复发灶切除;1例3年后死亡;4例失访。其中5例足月生产,2例妊娠中。结论:早期发现病灶有助于保留生殖功能;保留生育功能的手术应按个体化方案处理。
OBJECTIVE: To analyze the influence of the low malignant potential of ovary, the cause of the malignant tumor, the clinical manifestations and the surgical methods of preserving fertility on the prognosis, discuss the best surgical plan, reduce the recurrence rate and improve the pregnancy rate. Methods: Forty-three cases underwent surgery to preserve the reproductive function of the contralateral ovary and uterus, followed by radiotherapy and chemotherapy. Results: Tumor-free survival in 36 cases, accounting for 83.7%, the longest since 11 years, the shortest of 19 months; 2 cases of recurrence after resection recurrence; 1 case died after 3 years; 4 cases were lost. 5 cases of full-term production, 2 cases of pregnancy. Conclusion: Early detection of lesions helps to retain reproductive function; the function of reproductive function should be treated according to individualized treatment.