Observation of the ovarian function for surgical ovarian reservations in patients with early cervical cancer

YI Xue-lan

doi:10.13406/j.cnki.cyxb.2011.01.033

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Observation of the ovarian function for surgical ovarian reservations in patients with early cervical cancer

更新时间：2024-01-17

- Observation of the ovarian function for surgical ovarian reservations in patients with early cervical cancer
- Journal of Chongqing Medical University Vol. 36, Issue 1, Pages: 98-100(2011)
- 作者机构：
  
  湖南省祁阳县人民医院妇产科
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2011.01.033
  CLC： R737.33
- Published：2011，
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[1]易学兰.早期宫颈癌术后保留卵巢功能的临床分析[J].重庆医科大学学报,2011,36(01):98-100.

YI Xue-lan. Observation of the ovarian function for surgical ovarian reservations in patients with early cervical cancer. [J]. Journal of Chongqing Medical University 36(1):98-100(2011)
[1]易学兰.早期宫颈癌术后保留卵巢功能的临床分析[J].重庆医科大学学报,2011,36(01):98-100. DOI： 10.13406/j.cnki.cyxb.2011.01.033.

YI Xue-lan. Observation of the ovarian function for surgical ovarian reservations in patients with early cervical cancer. [J]. Journal of Chongqing Medical University 36(1):98-100(2011) DOI： 10.13406/j.cnki.cyxb.2011.01.033.

摘要

目的:观察早期宫颈癌保留卵巢手术后卵巢功能情况

并分析相关的影响因素。方法:对我院收治的接受保留卵巢的根治性子宫切除术治疗的早期宫颈癌患者98例进行为期至少半年的术后随访

化学发光免疫测定法测定性激素水平。FSH>40IU/L

E2<50 pmol/L判定为卵巢功能衰竭。结果:6月时出现卵巢功能衰竭者17例（17.3%）

12月时略上升（24.7%）

其后基本稳定（24月25.3%;36月24.5%）。早期宫颈癌保留卵巢手术后卵巢功能衰竭受年龄和术后放疗影响。经多因素调整后

>40岁患者发生术后卵巢功能衰竭和<40岁者发生的OR值为3.589;术后放疗患者和术后未放疗患者发生的OR值为4.354。结论:早期宫颈癌保留卵巢手术的年轻患者术后有一定的卵巢功能衰竭发生的机会

这跟患者的年龄和是否术后放疗有关。

Abstract

Objective:To observe the ovarian function for surgical ovarian reservations in patients with early cervical cancer

and analyze related factors.Methods:We conducted a at least six months followed up for 98 patients with early cervical cancer who accepted radical hysterectomy with ovaries reserved.Sex hormones were detected by chemiluminescence immunoassay.Ovarian failure was confirmed by FSH> 40 IU / L

E2 <50 pmol/L.Results:A total of 17 patients(17.3%) were confirmed of ovarian failure in the 6th month after surgery.The morbidity of ovarian failure in 12th month

24th month

36th month was 24.7%

25.3%

24.5%

respectively.It was affected by age and postoperative radiotherapy.After multi factors adjusted

the OR of ovarian failure for > 40 years and <40 years was 3.589;ant the OR was 4.354 for patients with postoperative radiotherapy and without postoperative radiotherapy.Conclusion:There is some ovarian failure morbidity in young patients with early cervical cancer after retain ovarian surgery

which was affected by age and postoperative radiotherapy.

关键词

宫颈癌卵巢手术卵巢衰竭预后

Keywords

cervical cancerovarian surgeryovarian failureprognosis

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