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首页> 外文期刊>Taiwanese journal of obstetrics and gynecology >A 51-month Follow-up of Fresh Autologous Hemi-ovary Transplantation at the Pfannenstiel Incision Site After Hysterectomy and Accidental Bilateral Salpingo-oophorectomy in a Premenopausal Woman
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A 51-month Follow-up of Fresh Autologous Hemi-ovary Transplantation at the Pfannenstiel Incision Site After Hysterectomy and Accidental Bilateral Salpingo-oophorectomy in a Premenopausal Woman

机译：绝经前妇女子宫切除术和意外双侧输卵管卵巢切除术后在Pfannenstiel切口部位进行新鲜自体半卵巢移植的51个月随访

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Objective: This case report evaluates a 51-month follow-up of the hormonal profiles and the menopausal status after fresh autologous hemi-ovary transplantation to the Pfannenstiel incision site in a woman aged 32 years after a total hysterectomy and accidental bilateral salpingo-oophorectomy.Case Report: A 32-year-old, unmarried woman without sexual experience had undergone a total hysterectomy and accidental bilateral salpingo-oophorectomy for huge uterine fibroids and dense pelvic adhesion. A fresh autologous right normal hemi-ovary was transplanted into the adipose tissue on the right side of the Pfannenstiel incision site. During the 51 -month follow-up after transplantation, a series of hormonal profiles for serum follicle-stimulating hormone (FSH), luteinizing hormone (LH), estradiol (E2) and progesterone were carried out, together with ultrasound detection of the presence of subcutaneous follicles and an analysis of menopausal symptoms. Postoperative hormone levels at months 14, 18, 22, 30 and 51 were as follows: (1) FSH, 17.06, 11.33, 51.44, 28.6 and 61.41 mIU/mL, respectively; (2) LH, 15.1, 6.7, 20.1,15.7 and 28.9 mIU/mL, respectively; (3) E2, 79.7, 128, 55.9, 18.6 and < 10 pg/mL, respectively; and (4) progesterone, 4.52, 9.51, 0.67, 0.45 and 0.25 ng/ml_, respectively. The hormonal levels after month 22 indicated a menopausal status. Ultrasound evidence of follicles was present until 30 months after transplantation.Conclusion: This case study showed a subcutaneous fresh autologous hemi-ovary transplant survived for at least 18 months after transplantation.
机译：目的：本病例报告评估了在全子宫切除术和意外双侧输卵管卵巢切除术后32岁的女性中，新鲜的自体半卵巢移植到Pfannenstiel切口部位后的激素状况和更年期状态的51个月随访。病例报告：一名无性经历的32岁未婚妇女因子宫肌瘤巨大和骨盆粘连紧密而接受了全子宫切除术和意外双侧输卵管卵巢切除术。将新鲜的自体右正常半卵巢移植到Pfannenstiel切口部位右侧的脂肪组织中。移植后51个月的随访期间，进行了一系列激素测定，包括血清卵泡刺激素（FSH），黄体生成素（LH），雌二醇（E2）和孕激素，并通过超声检测是否存在皮下卵泡和更年期症状分析。术后14、18、22、30和51个月的激素水平如下：（1）FSH分别为17.06、11.33、51.44、28.6和61.41 mIU / mL; （2）LH，15.1、6.7、20.1、15.7和28.9 mIU / mL; （3）E2、79.7、128、55.9、18.6和<10 pg / mL; （4）孕酮，分别为4.52、9.51、0.67、0.45和0.25 ng / mL。 22个月后的荷尔蒙水平表明处于更年期状态。超声检查显示卵泡直到移植后30个月。结论：本例研究表明，皮下新鲜自体半卵巢移植物在移植后至少存活18个月。

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