癌症治疗,性腺功能和生育能力的保护:叙事评论
Christopher O Eden1, Alyson Haslam2, Vinay Prasad2
1Department of Medicine, Oregon Health & Science University, Portland, OR.
JCO oncology practice
|July 2, 2024
概括
癌症患者的生育能力保护研究有限. 虽然一些研究表明它可能会增加怀孕率,但需要更多高质量的研究来证实其有效性.
科学领域:
- 在瘤学瘤学.
- 生殖医学 生殖医学
- 临床研究 临床研究
背景情况:
- 生育能力的保护旨在减轻癌症治疗对年轻患者生殖健康的影响.
- 生育保存策略的有效性在很大程度上仍未得到量化.
- 了解供应率和随后的生殖结果对于知情的患者护理至关重要.
研究的目的:
- 为了确定癌症患者提供生育保护的频率.
- 为了调查患者是否提供了生育保护,他们经历了更高的成功后代率.
- 综合目前关于生育保存技术有效性的证据.
主要方法:
- 在Embase和PubMed进行了全面的文献搜索,截至2022年12月.
- 关键词包括"化疗"",辐射"和"生育".
- 包括随机和观察性研究,不包括评论和病例报告.
主要成果:
- 审查中包括了85篇文章.
- 早期卵巢衰竭率为18% (干预) 和25% (对照).
- 干预组的怀孕率较高 (21%对11%),尽管在所有研究中并不一致显著.
结论:
- 目前关于癌症患者的生育能力保护的研究是有限的,质量也很差.
- 显著需要强大的,特别是随机的研究.
- 未来的研究应该专注于以患者为中心的结果和长期的生育成功.
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