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1984年8月,我院为1例子宫体癌I期患者在行子宫切除术的同时,做了卵巢自体移植,获得成功,现报道如下。患者女,33岁。病案号273132。因子宫内膜癌I期,在全麻下行广泛子宫切除术。术中见子宫体近手拳大小,表面光滑,双侧输卵管及卵巢外观正常,左卵巢冰冻切片未见转移癌,故决定将左卵巢移植于左腋下。手术分两组进行,一组广泛子宫切除术,另组做卵巢移植。于左腋下纵行切开皮肤,长约8cm,深达筋膜,沿背阔肌前缘剥离暴露胸外动静脉的分支胸背动静脉,并与卵巢动静脉吻合,吻合完毕见卵巢血运良好,将卵巢固定于皮下组织中。术后6、8及10个月各随访一次,患者未出现绝经期症状,阴道松软、湿润,性生活和谐。体表可触及移植卵巢约3×3×2cm大小,表面光滑,无压痛。患者全身状况良好,能坚持正常工作。
In 1984 August, our hospital is a case of uterine cancer in patients with I stage hysterectomy at the same time, made ovarian autotransplantation, to be successful, are reported below. Female patient, 33 years old. Case number 273132. Due to endometrial cancer stage I, extensive hysterectomy under general anesthesia. Intraoperative see the uterine body near hand punch size, smooth surface, bilateral tubal and ovarian appearance is normal, the left ovarian frozen section no metastasis, it is decided to the left ovary transplanted to the left armpit. Surgery was divided into two groups, a group of extensive hysterectomy, the other group to do ovarian transplantation. In the left armpit longitudinal incision skin, about 8cm deep fascia, stripping along the front of the latissimus dorsi thoracodorsal veins exposed thoracodorsal veins, and ovarian arteriovenous anastomosis, anastomosis completed see ovarian blood Good transport, the ovary fixed in the subcutaneous tissue. Postoperative 6,8 and 10 months of follow-up, the patient did not appear symptoms of menopause, vaginal soft, moist, sexual harmony. Surface of the transplant ovary can reach about 3 × 3 × 2cm size, smooth surface, no tenderness. The patient’s general condition is good, can insist on normal work.