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題 名 | 女性癌症患者生育保存的新選擇=New Choice of Fertility Preservation in Female Patients with Cancer |
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作 者 | 鄭閎文; 何俊德; 張皓勇; 蔡敏鈴; | 書刊名 | 藥學雜誌 |
卷 期 | 33:1=130 2017.03[民106.03] |
頁 次 | 頁52-57 |
分類號 | 418.276 |
關鍵詞 | 促性腺釋放激素; 生育保存; 化學療法; 癌症治療; |
語 文 | 中文(Chinese) |
中文摘要 | 生育年齡的女性癌症患者隨著醫療的進步,雖然存活的機會增加,但可能因為接 受抗癌藥物的治療,而對生殖腺產生毒性,腫瘤科醫師應該在患者接受化學治療前, 對於卵巢功能的影響或不孕的可能性做詳細的溝通,並將這些影響降到最低。臨床 上,可以在病人接受化學治療前,利用冷凍胚胎或冷凍卵子的方法,增加化療後病人 的懷孕機率,但由於從卵巢刺激到取卵,約需要7-14天的時間,因此只適用於不需要 立即接受化學治療的病人,例如:乳癌患者。近幾年的研究指出,對於需要立即接受 治療或尚未進入青春期的癌症病人,利用冷凍卵巢組織的方式,可以保存患者的生育 能力,但目前仍處於實驗階段。另一方面,具有卵巢抑制作用的促性腺釋放激素類似 物 (Gonadotropin-releasing hormone analogues,GnRHa) 也是目前臨床醫師治療的可能 選擇之一。 |
英文摘要 | Young women suffering from cancer that require treatment with chemotherapy are at risk of premature ovarian failure and infertility. The most significant risk factors are age and type of treatment given.Dosage and regimen of chemotherapy are also influence of ovarian function and fertility. Preserving fertility is of high priority to the young patient. This article reviews the effect of chemotherapy on gonadal function and fertility, and offers different fertility preserving methods based on the literature. Embryo cryopreservation and cryopreservation of unfertilized oocytes are the recommended methods of fertility preservation now.Cryopreservation of ovarian tissue is a possible way of preserving fertility in pre-puberty female in the future but now it is investigational. Ovarian suppression that with Gonadotropin-releasing hormone analogues is fair in clinical trial,so we want to confirm the protective effects of GnRH agonists for chemotherapy-induced ovarian damage in this literature. |
本系統中英文摘要資訊取自各篇刊載內容。