Lee C L, Lai Y M, Soong Y K, Lin T K, Tang S G
Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Medical Center, Taipei, Taiwan, Republic of China.
Hum Reprod. 1995 Feb;10(2):372-4. doi: 10.1093/oxfordjournals.humrep.a135946.
Ovarian preservation before abdominal irradiation may be recommended for young patients with various types of invasive cancer. The most common site for ovarian transposition is just below the iliac crest or posterolateral to the uterus. Here, we demonstrate laparoscopic ovariopexy with an automatic stapling device to transpose the ovaries to an uncommon site, i.e. lower anterolateral abdomen, in a patient with medulloblastoma prior to her receiving irradiation of the craniospinal axis. The anterolateral transposition of the ovary not only kept it away from the irradiated field but allowed it also to be shielded by the uterus. Thus, ovarian function could be well preserved.
对于患有各种类型浸润性癌症的年轻患者，可能建议在腹部放疗前进行卵巢保留。卵巢移位最常见的部位是髂嵴下方或子宫后外侧。在此，我们展示了在一名髓母细胞瘤患者接受颅脊柱轴放疗前，使用自动吻合器进行腹腔镜卵巢固定术，将卵巢移位至一个不常见的部位，即下腹部前外侧。卵巢向前外侧移位不仅使其远离照射野，还使其能够被子宫屏蔽。因此，卵巢功能得以良好保留。
