Howard F M
Department of Obstetrics and Gynecology, Rochester General Hospital, 1425 Portland Avenue, Rochester, NY 14621, USA.
J Am Assoc Gynecol Laparosc. 1997 Nov;4(5):601-4. doi: 10.1016/s1074-3804(05)80096-9.
More than one-half of women treated with pelvic radiation therapy for malignant disease experience premature ovarian failure. Preservation of ovarian function by repositioning the ovaries out of the irradiation field is suggested in all women of reproductive age. This repositioning generally is done by moving the ovaries either medially so they are posterior to the uterus, or laterally so they are in the paracolic gutters. Laparoscopic medial transposition has been reported, with mixed results. A woman underwent successful laparoscopic lateral transposition before irradiation for stage IIIa Hodgkin disease. A review of published cases suggests that this is preferable to medial transposition.
接受盆腔放射治疗的恶性疾病女性患者中，超过一半会出现卵巢早衰。建议对所有育龄女性通过将卵巢重新定位至照射野之外来保留卵巢功能。这种重新定位通常通过将卵巢向内移动使其位于子宫后方，或向外移动使其位于结肠旁沟来实现。已有腹腔镜下向内移位的报道，但结果不一。一名女性在接受IIIa期霍奇金病放疗前成功进行了腹腔镜下向外移位。对已发表病例的回顾表明，这种方法比向内移位更可取。
