摘要
随着首次妊娠的高龄化趋势以及妇科恶性肿瘤(宫颈癌、卵巢癌、子宫内膜癌)患病的年轻化,越来越多的年轻妇科肿瘤患者未完成生育使命。另一方面,随着妇科恶性肿瘤的早期诊断及治疗方案的日益成熟,肿瘤患者生存率大大提高。如何在不影响肿瘤治疗的情况下,选择适合年轻妇科肿瘤患者保留生育力的方案,让其后续生育愿望得以实现,是临床医师在治疗肿瘤时需要考虑的问题,也是生殖医学面临的挑战。本文结合妇科恶性肿瘤的分期,对保留生育力治疗的指征、手术方式、治疗后的妊娠时机及随访情况、助孕方式、保留生育力治疗后肿瘤复发如何处理等问题,结合国内外相关指南和专家共识进行综述,旨在为临床治疗提供指导。
With the aging trend of the first pregnancy and the younger onset of gynecological malignancies(cervical cancer,ovarian cancer,endometrial cancer),more and more young gynecological cancer patients have not completed their reproductive mission.On the other hand,with the maturation of early diagnosis and treatment of gynecological malignant tumors,the tumor survival rate has been greatly improved.How to choose a plan suitable for young gynecologic cancer patients to retain fertility without affecting the treatment of malignant tumors,so that their subsequent fertility aspirations can be realized,is a problem that clinicians need to consider when treating tumors,and is also a challenge for reproductive medicine.Combined with the stage of gynecologic malignant tumor,this article reviews the indications,surgical methods,the timing and follow-up of pregnancy after treatment,the methods of helping pregnancy,and how to deal with the recurrence of tumor after fertility preservation treatment,to provide guidance for clinical treatment.
作者
文秋月
杨一华
刘博
韦植耀
贲银
邓荣
冯铿
覃爱平
Wen Qiuyue;Yang Yihua;Liu Bo;Wei Zhiyao;Bi Yin;Deng Rong;Feng Keng;Qin Aiping(The First Affiliated Hospital of Guangxi Medical University,Nanning 530021,China)
出处
《中华生殖与避孕杂志》
CAS
CSCD
北大核心
2019年第10期853-858,共6页
Chinese Journal of Reproduction and Contraception
关键词
妇科恶性肿瘤
肿瘤手术治疗
生育力保存
Gynecological malignant tumor
Tumor surgical treatment
Fertility preservation
