de Mouzon J, Cohen J, Spira A
INSERM U292, Hôpital de Bicêtre, Le Kremlin-Bicêtre.
Contracept Fertil Sex. 1993 Jul-Aug;21(7-8):566-70.
Whittemore and al. recently published a general paper concerning the risk factors of ovarian cancer, combining the data from 12 epidemiological studies realised from 1979 to 1988. Three of these studies allowed to analyze the role of infertility treatments which were associated to an increased risk (odds ratio = 2.8), specially in nulligravid women (OR = 27.0). However potential bias could not be rejected, and information on drugs was too scanty, so that no definite conclusion could be drawn, even if the results were in accordance with the main physicopathogenical theories. In conclusion, it appears necessary to undertake a large epidemiological study, and, in the same time, even if patients must be reassured, to recommend attention to the doctors when prescribing infertility treatments.
惠特莫尔等人最近发表了一篇关于卵巢癌风险因素的综合论文,该论文整合了1979年至1988年开展的12项流行病学研究的数据。其中三项研究能够分析不孕治疗的作用,结果显示不孕治疗与风险增加相关(优势比=2.8),特别是在未孕女性中(优势比=27.0)。然而,不能排除潜在偏倚,且关于药物的信息非常稀少,因此即便结果与主要的物理病理理论相符,也无法得出明确结论。总之,开展大规模流行病学研究似乎很有必要,同时,即便必须让患者安心,在开具不孕治疗药物时,也建议医生予以关注。