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目的探讨育龄期女性结直肠癌患者术前生育问题咨询状况。方法回顾性收集1997~2007年之间收治的育龄期女性结直肠癌患者临床资料,明确是否有术前生育咨询的记录。结果 21例入组患者中(18~45岁),8例因绝育或生殖器官肿瘤被排除,2例具有术前咨询的病例记录(9.5%),术后出现受孕困难的发生率是38%。结论女性结直肠癌患者在术前咨询生育问题的比例较低,而术后出现受孕困难的比例高,医生有必要在术前与育龄期女性结直肠癌患者讨论术后孕育问题。
Objective To investigate the status of preoperative maternity consultation in women of childbearing age with colorectal cancer. Methods The clinical data of female patients with colorectal cancer of childbearing age who were admitted between 1997 and 2007 were collected retrospectively to find out whether there is a record of consultation on prenatal fertility. Results Of the 21 patients enrolled (18-45 years), 8 were excluded due to sterilization or genital cancer, 2 were documented with preoperative counseling (9.5%), and the incidence of postoperative conception difficulties was 38% . Conclusions Female patients with colorectal cancer consult a low proportion of preoperative fertility problems, while the high rate of postoperative pregnancy complications is difficult. It is necessary for doctors to discuss preoperative pregnancy problems with preoperative women with colorectal cancer of childbearing age.