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宫颈癌年轻患者放疗时行腹腔镜卵巢移位术的必要性。

The need for laparoscopic ovarian transposition in young patients with cervical cancer undergoing radiotherapy.

作者信息

Winarto Hariyono, Febia Eva, Purwoto Gatot, Nuranna Laila

机构信息

Gynecologic Oncology Division, Department of OBGYN, Faculty of Medicine, University of Indonesia, Gedung A lt. 3, Medical Staff Wing Dr. Cipto Mangunkusumo Hospital, Jakarta 10430, Indonesia.

出版信息

Int J Reprod Med. 2013;2013:173568. doi: 10.1155/2013/173568. Epub 2013 Dec 3.

Abstract

Maintaining the quality of life by preserving ovarian function in premenopausal patients with cervical cancer undergoing radiation is crucial. This can be accomplished with a simple and safe laparoscopic ovarian transposition procedure. This procedure aims to move the ovary out of the irradiation field, protecting it from direct radiation and irreversible damage and preserving its function. However, this procedure is often forgotten and seldom offered to patients. This review aims to lay stress on and reconsider the importance of laparoscopic ovarian transposition as a simple, safe, and extremely useful procedure. The biological effects of radiation are described briefly and several studies are evaluated, which reveal that this procedure has more benefits than risks.

摘要

对于接受放疗的绝经前宫颈癌患者,通过保留卵巢功能来维持生活质量至关重要。这可以通过简单且安全的腹腔镜卵巢移位术来实现。该手术旨在将卵巢移出照射野,保护其免受直接辐射和不可逆损伤,并保留其功能。然而,该手术常常被遗忘,很少提供给患者。本综述旨在强调并重新审视腹腔镜卵巢移位术作为一种简单、安全且极其有用的手术的重要性。简要描述了辐射的生物学效应,并评估了几项研究,这些研究表明该手术利大于弊。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a24/4334059/0adcf04656e0/IJRMED2013-173568.001.jpg

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