不同手术方式治疗子宫卵巢囊肿对女性内分泌及生理功能的影响

Effects of different surgical methods on the endocrine and physiological functions of women with uterine and ovarian cysts

目的探讨不同手术方式治疗子宫卵巢囊肿对女性内分泌及生理功能的影响。方法选取2014年1月-2015年2月我院收治的78例子宫卵巢囊肿患者作为研究对象,将这些患者随机分为研究组和对照组,各39例。研究组患者接受腹腔镜手术治疗,对照组患者实施开腹手术治疗。两组患者经相应手术治疗后均给予1年有效随访,记录两组患者手术前后内分泌及生理功能变化情况,将所得数据经统计学分析后得出结论。结果研究组39例患者,成功妊娠30例,妊娠成功率76.92%;对照组39例患者,成功妊娠22例,妊娠成功率56.41%。研究组患者的妊娠成功率显著高于对照组,差异有统计学意义(P<0.05);手术后对照组患者促卵泡生长激素(folliclestimulating hormone,FSH)水平较术前显著提高,差异有统计学意义(P<0.05),研究组患者FSH水平手术前后对比差异无统计学意义(P>0.05)。结论应用腹腔镜手术治疗子宫卵巢囊肿可获得更为理想的临床预后,有利于保障患者的生活质量及身心健康。

Objective To investigate the effects of different surgical methods on the endocrine and physiological functions of women with uterine and ovarian cysts. Methods From January 2014 to February 2015, 78 patients with uterine and ovarian cysts were selected as the research object. They were randomly divided into the study group and the control group, with 39 cases in each group. The patients in the study group were treated with laparoscopic surgery, while those in the control group was treated with laparotomy. Two groups of patients were treated with I year follow-up after the surgical treatment. The changes of endocrine and physiological function before and after operation in two groups of patients with uterine and ovarian cyst were statistically analyzed and concluded. Results In the study group of 39 cases, 30 patients with successful pregnancy, the success rate was 76.92%; while in control group of 39 cases, 22 patients with successful pregnancy, the success rate was 56.41%. The pregnancy success rate of the study group was significantly higher than that of the control group, and the difference was statistically significant （P〈0.05）. The follicle-stimulating hormone （FSH） level in the control group was significantly higher than before, with statistical difference （P〈0.05）. There was no significant difference in the level of FSH before and after operation in the study group before and after surgery （P〉0.05）. Conclusion The application of laparoscopic surgery for the treatment of uterine and ovarian cysts can achieve a more satisfactory clinical outcome, and conducive to the protection of patients＇ quality of life and physical and mental health.