Rasool Nabila, Rose Peter G
Department of Obstetrics and Gynecology, Cleveland Clinic Foundation, Cleveland, Ohio, USA.
Clin Obstet Gynecol. 2010 Dec;53(4):804-14. doi: 10.1097/GRF.0b013e3181f97d02.
Gynecologic malignancies often affect young women who are at the peak of their reproductive potential. The treatment for gynecologic malignancies often consists of removal of the ovaries or uterus, affecting the future fertility of these patients. Advances in surgical management have allowed patients to undergo more conservative treatment with preservation of their fertility. This review summarizes fertility-sparing surgical procedures for patients with gynecologic malignancies evaluating the role of radical trachelectomy and ovarian transposition in cervical cancer, hormonal therapy and hysteroscopic resection in endometrial cancer, and conservative surgery in ovarian cancer.
妇科恶性肿瘤常常影响处于生殖潜力巅峰的年轻女性。妇科恶性肿瘤的治疗通常包括切除卵巢或子宫，这会影响这些患者未来的生育能力。手术管理方面的进展使患者能够接受更保守的治疗以保留生育能力。本综述总结了妇科恶性肿瘤患者的保留生育功能手术方法，评估了根治性宫颈切除术和卵巢移位术在宫颈癌中的作用、激素治疗和宫腔镜切除术在子宫内膜癌中的作用以及卵巢癌中的保守手术。
