KẾT QUẢ PHẪU THUẬT CHUYỂN VỊ BUỒNG TRỨNG TRƯỚC XẠ TRỊ TRÊN BỆNH NHÂN UNG THƯ CỔ TỬ CUNG TẠI BỆNH VIỆN K

Abstract

Objective: Evaluation of the results of ovarian transposition surgery and ovarian function before radiotherapy in cervical cancer patients at Vietnam National Cancer Hospital. Subjects and Methods: A retrospective and prospective descriptive study of 75 young cervical cancer patients who underwent ovarian transposition at Vietnam National Cancer Hospital from January 2023 to December 2024. Results: No complications were recorded after ovarian transposition (OT) surgery. After 6 months, 72% of patients retained ovarian function. The ovarian function preservation rate was 100% in the non-radiotherapy group, 66.7% in the adjuvant radiotherapy group, and 30.4% in the concurrent chemoradiotherapy group. Regarding sexual quality of life, 72% of patients reported normal or excellent quality. 100% of patients with loss of ovarian function had poor sexual quality of life, while among those with preserved ovarian function, 57.4% had average sexual quality of life and 42.6% had excellent quality. Conclusion: Ovarian transposition is a safe and effective surgical procedure for preserving ovarian endocrine function and contributing to the maintenance of sexual quality of life in young women with cervical cancer. The degree of ovarian function preservation gradually decreases with radiotherapy and chemoradiotherapy.