中华临床医师杂志(电子版)
中華臨床醫師雜誌(電子版)
중화림상의사잡지(전자판)
CHINESE JOURNAL OF CLINICIANS(ELECTRONIC VERSION)
2015年
1期
40-44
,共5页
孔静仪%潘文莹%张颖%张师前
孔靜儀%潘文瑩%張穎%張師前
공정의%반문형%장영%장사전
卵巢肿瘤%保留生育手术
卵巢腫瘤%保留生育手術
란소종류%보류생육수술
Ovarian neoplasms%Fertility-sparing surgery
对于早期卵巢癌的患者,尤其育龄期女性,保留生育能力及性腺内分泌功能有重要意义。然而对于保留生育适应证及治疗仍存在争议,随着临床案例不断累积,本文对不同肿瘤分期、分化程度、病理类型的患者预后进行进一步评估,同时探讨了全面分期手术、淋巴结清扫、腹腔镜手术及辅助化疗的相关预后。然而临床实践中,接受保留生育治疗患者仍占少数,多数患者仍不了解抗癌治疗对于自身的影响,仍需要我们的进一步努力。
對于早期卵巢癌的患者,尤其育齡期女性,保留生育能力及性腺內分泌功能有重要意義。然而對于保留生育適應證及治療仍存在爭議,隨著臨床案例不斷纍積,本文對不同腫瘤分期、分化程度、病理類型的患者預後進行進一步評估,同時探討瞭全麵分期手術、淋巴結清掃、腹腔鏡手術及輔助化療的相關預後。然而臨床實踐中,接受保留生育治療患者仍佔少數,多數患者仍不瞭解抗癌治療對于自身的影響,仍需要我們的進一步努力。
대우조기란소암적환자,우기육령기녀성,보류생육능력급성선내분비공능유중요의의。연이대우보류생육괄응증급치료잉존재쟁의,수착림상안례불단루적,본문대불동종류분기、분화정도、병리류형적환자예후진행진일보평고,동시탐토료전면분기수술、림파결청소、복강경수술급보조화료적상관예후。연이림상실천중,접수보류생육치료환자잉점소수,다수환자잉불료해항암치료대우자신적영향,잉수요아문적진일보노력。
For early stage ovarian cancer patients, especially child-bearing period women, the preservation of fertility and gonads endocrine function has become a significant issue. However the proper indication as well as surgical procedure is still partially under debating. Depending on the cumulating of related cases, this review tended to assess correlated/influenced prognosis of patients in different FIGO stage, tumor grade and histological subtype, and discuss implication of comprehensive surgical staging, lymphadenectomy, laparoscopy and adjuvant chemotherapy on survival. As the fact that fertility-sparing treatment remains limited, nevertheless the majority knows little about cancer treatment and further fertility, great effort is still in need.