Treissman M J, Miller D, McComb P F
Department of Obstetrics and Gynecology, Vancouver Hospital, British Columbia, Canada.
Fertil Steril. 1996 Jun;65(6):1229-31. doi: 10.1016/s0015-0282(16)58344-7.
To determine if the new technique laparoscopic lateral transposition of the ovaries before pelvic radiotherapy for anal canal carcinoma prevents radiation-related ovarian failure.
A case report.
The operating room of a Canadian teaching hospital.
A single patient with anal canal carcinoma, requiring pelvic radiotherapy, who desired preservation of ovarian function.
Laparoscopic ovarian transposition to the level of the pelvic brim.
Follow-up clinical and laboratory evidence of ovarian failure.
Initially ovarian failure was confirmed with the appearance of postmenopausal symptoms and the elevation of serum gonadotropins. These symptoms resolved by 8 months after radiotherapy, normal menstrual cycles resumed, and normal FSH levels were detected at that time.
The laparoscopic, lateral transposition of this patient's ovaries was effective at preventing radiation-related ovarian failure.
确定肛管癌盆腔放疗前采用腹腔镜下卵巢外侧移位新技术是否可预防放疗相关的卵巢功能衰竭。
病例报告。
加拿大一家教学医院的手术室。
一名肛管癌患者，需要盆腔放疗，希望保留卵巢功能。
腹腔镜下将卵巢移位至盆腔边缘水平。
随访卵巢功能衰竭的临床及实验室证据。
最初，绝经后症状出现及血清促性腺激素升高证实存在卵巢功能衰竭。放疗后8个月这些症状消失，月经周期恢复正常，此时检测到促卵泡生成素（FSH）水平正常。
该患者的腹腔镜下卵巢外侧移位有效预防了放疗相关的卵巢功能衰竭。
