Hunter M C, Glees J P, Gazet J C
Clin Radiol. 1980 Jan;31(1):21-6. doi: 10.1016/s0009-9260(80)80076-6.
Fifty-four female patients under 45 years of age were followed-up for assessment of ovarian function after treatment for Hodgkin's disease. Forty-six patients had oophoropexy performed, but it was found that in only 28 (60.8%) were the ovaries sufficiently displaced from their normal positions that, had an inverted 'Y' field of irradiation been applied, the ovaries would have been spared. In the 12 patients who were treated by irradiation alone (including an inverted 'Y' field), only one patient maintained normal ovarian function. Therefore, it is suggested that oophoropexy and the shielding performed at inverted 'Y' irradiation has proved of limited value in preserving ovarian function further measures should be taken.
对54名45岁以下的女性霍奇金病患者进行治疗后随访,以评估其卵巢功能。46名患者接受了卵巢固定术,但发现只有28名患者(60.8%)的卵巢充分移位至正常位置以外,若采用倒“Y”形照射野,卵巢可免受照射。在仅接受放疗的12名患者(包括倒“Y”形照射野)中,只有1名患者维持了正常卵巢功能。因此,提示卵巢固定术以及倒“Y”形照射时进行的屏蔽对保留卵巢功能的价值有限,应采取进一步措施。