腹腔镜卵巢子宫内膜异位囊肿水压剥除及缝合止血对卵巢子宫内膜异位囊肿患者的影响

Influence of laparoscopic ovarian endometriosis cyst hydroentral stripping and suture hemostasis on patients with ovarian endometriosis cyst

目的探讨腹腔镜卵巢子宫内膜异位囊肿水压剥除及缝合止血对卵巢子宫内膜异位囊肿患者的影响。方法选取我院2017年2月～2018年8月收治的95例卵巢子宫内膜异位囊肿患者,随机分为观察组(50例)与对照组(45例)。观察组采用腹腔镜卵巢子宫内膜异位囊肿水压剥除及缝合止血,对照组采用卵巢子宫内膜异位囊肿直接剥离及电凝止血。观察两组术后不同时间点各类激素水平及窦卵泡(AFC)个数。结果术后48 h及术后3个月时,观察组患者的血清卵泡刺激素(FSH)水平均高于对照组,抗缪勒管激素(AMH)、雌二醇(E_2)水平及AFC均低于对照组,差异有统计学意义(P<0.05)。结论卵巢子宫内膜异位囊肿患者应用腹腔镜卵巢子宫内膜异位囊肿水压剥除及缝合止血能有效避免卵巢皮质损伤,减轻对卵巢储备功能的损害。

Objective To investigate the influence of laparoscopic ovarian endometriosis cyst hydroentral stripping and suture hemostasis on patients with ovarian endometriosis cyst.Methods A total of 95 patients with ovarian endometriotic cysts admitted to our hospital from February 2017 to August 2018 were selected and randomly divided into the observation group(50 cases)and the control group(45 cases).The observation group was treated with laparoscopic ovarian endometriosis cyst hydroponic extraction and suture hemostasis,and the control group was treated with direct detachment of ovarian endometriotic cyst and electrocoagulation hemostasis.The levels of various hormones and the number of antral follicles(AFC)at different time points after operation were observed between the two groups.Results At 48 h after operation and 3 months after operation,the serum follicle stimulating hormone(FSH)level in the observation group was higher than that in the control group,and the anti-ullerian hormone(AMH),estradiol(E2)levels and AFC in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).Conclusion Patients with ovarian endometriotic cysts with lap roscopic ovarian endometriosis cystic pressure stripping and suture hemostasis can effectively avoid ovarian cortical injury and reduce damage to ovarian reserve function.