术前使用GnRHa对腹腔镜巧克力囊肿切除手术质量的影响

Preoperative Treatment of Gonadotrophin Releasing Hormone Agonist in Laparoscopic Excision of Ovarian Endometriotic Cysts

目的:探讨术前使用促性腺激素释放激素激动剂对腹腔镜巧克力囊肿切除手术质量的影响。方法:回顾性分析64例腹腔镜巧克力囊肿切除手术资料,其中35例(研究组)术前3个月每月肌注促性腺激素释放激素激动剂3.75 mg,其余29例(对照组)术前无药物治疗。结果:研究组、对照组的手术耗时、术中出血量、卵巢创面需电凝止血的例数、囊壁完整剥离的例数分别为(53.0±17.6)min vs.(74.0±27.9)min;(29.0±13.7)mL vs.(43.0±27.2)mL;6例(17.1%)vs.18例(62.1%);23例(65.7%)vs.1例(3.45%),差异均有统计学意义(均P<0.01)。结论:腹腔镜巧克力囊肿切除术前使用促性腺激素释放激素激动剂使囊肿更易于剥离、术中出血量减少,提高了手术质量。

Objective：To study the value of preoperative treatment of gonadotrophin releasing hormone agonist（GnRHa） in laparoscopic excision of ovarian endometriotic cysts（LEOEC）.Methods：64 cases of LEOEC were analyzed retrospectively,of which 35 cases（study group） accepted the preoperative treatment of GnRHa,and the other 29 cases（control group） accepted no preoperative treatment.Results：The operating time,blood loss,the cases whose ovary were coagulated and whose ovarian endometriotic cyst could be almost entirely separated in the study group and control group were（53.0±17.6） min versus（74.0±27.9） min,（29.0±13.7） mL versus（43.0±27.2） mL,6 cases（17.1%） versus 18 cases（62.1%）,23 cases（65.7%） versus 1 cases（3.45%）,respectively.Conclusion：Preoperative treatment of GnRHa is helpful for LEOEC,which includes minimizing the operating time and the blood loss,making the procedure more easier.