腹腔镜下卵巢囊肿剥除术对卵巢囊肿患者疗效、卵巢功能及性激素水平的影响

Effects of laparoscopic ovarian cyst removal on the efficacy,ovarian function and sex hormone levels in patients with ovarian cyst

目的:分析卵巢囊肿患者实施腹腔镜下卵巢囊肿剥除术治疗对其临床疗效、卵巢功能及性激素的影响.方法:选取2021年1月~2023年1月期间在我院接受治疗的80例卵巢囊肿患者作为研究对象.对照组采用开腹卵巢囊肿剥除术,研究组采用腹腔镜下卵巢囊肿剥除术.分析对比两组的手术相关指标、卵巢功能、性激素、应激反应、术后并发症.结果:研究组术中出血量明显少于对照组,手术时间、术后排气及住院时间均明显短于对照组(P<0.05).治疗后,研究组患侧窦状卵泡数目(Antral follicle count,AFC)、患侧卵巢动脉收缩期峰值血流速度(Peak systolic blood flow velocity,PSV)及雌二醇(Serum levels of estradiol,E2)水平均明显高于对照组,卵泡刺激素(Follicle stimulating hormone,FSH)、黄体生成素(Luteinizing hormone,LH)水平均明显低于对照组(P<0.05).治疗后,研究组去甲肾上腺素(Norepinephrine,NE)、皮质醇(Cortisol,Cor)、促肾上腺皮质激素(Adrenocorticotropic hormone,ACTH)均明显低于对照组(P<0.05).研究组术后并发症发生率低于对照组(P<0.05).结论:于腹腔镜下开展卵巢囊肿剥除术能够减轻患者手术创伤和应激反应,且对患者卵巢功能影响小,患者术后疼痛轻,并发症少.

Objective:To analyze the effects of laparoscopic ovarian cyst removal on clinical efficacy,ovarian function and sex hormones in patients with ovarian cyst:80 patients with ovarian cyst who received treatment in our hospital from January 2021 to January 2023 were selected as the study objects.The control group underwent laparotomy and the study group underwent laparoscopy.The surgical indexes,ovarian function,sex hormones,stress response and postoperative complications were analyzed and compared between the two groups.Results:The amount of blood loss in the study group was significantly shorter than that in the control group,and the operation time,postoperative exhaust gas and hospitalization time were significantly shorter than that in the control group(P<0.05).After treatment,Antral follicle count(AFC),Peak systolic blood flow velocity,peak systolic blood flow velocity,Serum levels of estradiol(E2)and PSV were significantly higher than those of the control group,Follicle stimulating hormone(FSH),Luteinizing hormone(LH),and serum levels of estradiol(E2)were significantly higher than those of the control group.The levels of LH were significantly lower than those of control group(P<0.05).After treatment,Norepinephrine(NE),Cortisol(Cor)and Adrenocorticotropic hormone(ACTH)in the study group were significantly lower than those in the control group(P<0.05).The incidence of postoperative complications in the study group was lower than that in the control group(P<0.05).Conclusion:Laparoscopic ovarian cyst removal can alleviate the trauma and stress response of the patients,and has little impact on the ovarian function of the patients,and the patients have less postoperative pain and complications.