腹腔镜手术中的卵巢功能保护

The Protection of Ovarian Function in Laparoscopic Surgery

腹腔镜手术治疗效果好,术后恢复快,伤口美观,已逐步取代绝大多数传统手术,成为目前妇科使用最广泛、发展前景良好的微创手术。在施行妇科腹腔镜手术的过程中,各类手术操作是否会影响卵巢功能,导致卵巢储备功能下降甚至卵巢功能早衰,成为近年来备受关注的问题。正确认识和使用腹腔镜能量器械,有助于腹腔镜技术的健康发展。现从卵巢的解剖、卵巢储备功能检测、腹腔镜手术对卵巢功能的影响以及腹腔镜手术时卵巢保护措施等方面进行阐述,指出把握正确的手术指征,选择恰当的手术方式,掌握熟练的手术技巧,对保护卵巢功能有重要的意义。

Laparoscopic surgery has gradually replaced most of the traditional surgeries because of its advantages ,such as good curative effect, rapid postoperative recovery, leaving almost no abdominal scar. It has become one of the minimal invasive surgeries which are most widely used and have promising developing prospect in gynecological operations. In recent years, it has become a concern that whether the various types of surgical manipulations in gynecological laparoscopic procedure can lead to the decrease of ovarian reserve function or even premature ovarian failure. Correct understanding and use of laparoscopic energy device can help improve a healthy development of laparoscopy. This paper focuses on different aspects, including the anatomy of ovary, the detection of ovarian reserve function, the impacts of laparoscopic surgery on the ovarian function, the protection measures for the ovarian function during the laparoscopic surgery and so on. It has been concluded that grasping the correct operation indication, choosing the appropriate operative procedures, and mastering skilled surgical techniques have important significance for protecting the ovarian function.