经腹腔镜下卵巢囊肿剥除术与经腹卵巢囊肿剥除术对卵巢囊肿患者术后卵巢储备功能的影响

Effects of Laparoscopic Ovarian Cyst Removal and Trans abdominal Ovarian Cyst Removal on Postoperative Ovarian Reserve Function in Patients with Ovarian Cysts

目的对比分析经腹腔镜下卵巢囊肿剥除术与经腹卵巢囊肿剥除术对卵巢囊肿患者术后卵巢储备功能的影响。方法选择卵巢囊肿患者96例,随机分为2组,每组48例。对照组给予经腹卵巢囊肿剥除术治疗,观察组给予经腹腔镜下卵巢囊肿剥除术治疗。比较2组的临床治疗效果,观察2组的手术时间、术中出血量以及术后下床时间,并比较2组治疗前后的卵泡刺激素(FSH)、抗苗勒管激素(AMH)和雌二醇(E2)。结果观察组的有效率为93.75%(45/48),明显高于对照组的77.08%(37/48)(P<0.05)。观察组的手术时间、术中出血量以及术后下床时间均明显低于对照组(P<0.05)。2组治疗后的AMH水平均较治疗前明显降低(P<0.05),且2组之间无明显差异(P>0.05);2组治疗后的E2、FSH水平均与治疗前相比,无明显差异(P>0.05)。结论卵巢囊肿剥除术有助于促进卵巢囊肿患者各基础性激素水平的恢复以及卵巢储备功能的恢复,尤其是采用经腹腔镜下卵巢囊肿剥除术的出血少、手术时间短、损伤小,病变清除较为彻底,患者术后恢复好。

Objective To analysis the effects of laparoscopic ovarian cyst removal and transabdominal ovarian cyst removal on postoperative ovarian reserve function in patients with ovarian cysts. Methods 96 patients with ovarian cyst were randomly divided into two groups （ n = 48 ）. The control group received abdominal ovarian cystectomy treatment, observation group re- ceived laparoseopic ovarian cyst removal. The clinical treatment effect between two groups were compared. The operation time,intraoperative blood loss and postoperative time were obtained. The level of FSH, AMH and E2 before and after treatment in two groups were compared. Results The effective rate of the observation group was 93.75 % （45/48）, which was significantly higher than that of the control group （77.08% ,37/48） （P 〈0.05）. The operative time,intraoperative blood loss and postoperative time were significantly lower in the observation group than that in the control group （ P 〈 0.05 ）. The levels of AMH in the two groups were significantly lower than those before treatment （P 〈 0.05 ）, and there was no significant difference between the two groups （ P 〉 0.05 ） ; Compared with before treatment, there was no significant difference in the level of E2 and FSH in the two groups （ P 〉 0.05）. Conclusion Ovarian cystectomy can Promote the recovery of the basic hormones level and ovarian reserve function in patiants with ovarian cysts, especially laparoscopic ovarian cystectomy with less bleeding, shorter operative time,less damage, more complete clearance of the disease and well recovery after surgery for patient.