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
3期
358-362
,共5页
生殖技术,辅助%卵巢交界性肿瘤
生殖技術,輔助%卵巢交界性腫瘤
생식기술,보조%란소교계성종류
Reproductive techniques,assisted%Borderline ovarian tumours
卵巢交界性肿瘤(BOTs)为低度恶性潜能的肿瘤,生长缓慢,无间质浸润性。多发于育龄期妇女,预后良好,10年生存率约为95%。发病率占所有卵巢肿瘤的8%~10%。年轻患者可以行保留生育力的保守性手术治疗。保守性手术后自然受孕率近50%。因此,尽管进行了保守手术,其中一些患者会经历不育。对于持续不孕的患者,部分患者可以采用辅助生育(ART)的方法来治疗。但ART对BOTs的自然病程的作用尚有争议。
卵巢交界性腫瘤(BOTs)為低度噁性潛能的腫瘤,生長緩慢,無間質浸潤性。多髮于育齡期婦女,預後良好,10年生存率約為95%。髮病率佔所有卵巢腫瘤的8%~10%。年輕患者可以行保留生育力的保守性手術治療。保守性手術後自然受孕率近50%。因此,儘管進行瞭保守手術,其中一些患者會經歷不育。對于持續不孕的患者,部分患者可以採用輔助生育(ART)的方法來治療。但ART對BOTs的自然病程的作用尚有爭議。
란소교계성종류(BOTs)위저도악성잠능적종류,생장완만,무간질침윤성。다발우육령기부녀,예후량호,10년생존솔약위95%。발병솔점소유란소종류적8%~10%。년경환자가이행보류생육력적보수성수술치료。보수성수술후자연수잉솔근50%。인차,진관진행료보수수술,기중일사환자회경력불육。대우지속불잉적환자,부분환자가이채용보조생육(ART)적방법래치료。단ART대BOTs적자연병정적작용상유쟁의。
Borderline ovarian tumours (BOTs) known as tumours of low malignant potential, have an indolent disposition, do not destructively invade the underlying ovarian stroma. They are more likely to be diagnosed in women of reproductive age and have a favourable prognosis, with more than 95% of women surviving ten years beyond diagnosis. They represent around 8%-10% of all ovarian neoplasms. Conservative treatment can be an option in young patients who wish to preserve their fertility. After conservative treatment the spontaneous pregnancy rate is nearly 50%. In spite of conservative management for BOTs, some of these patients will experience infertility. In case of persistent infertility, it seems that the use of assisted reproductive technology (ART) could be proposed in selected cases. The role of ART in the natural history of borderline tumour of the ovary is still debated in the literature.