腹腔镜下卵巢囊肿剥除术的临床疗效及对卵巢储备功能的影响

Clinical effect of Laparoscopic Ovarian Cystectomy on OvarianReserve

目的 观察腹腔镜下卵巢囊肿剥除术的临床疗效及对卵巢储备功能的影响。方法 将2017年1月~12月我院治疗的卵巢囊肿患者116例,将其分为两组,均58例。对照组行经腹卵巢囊肿剥除术,观察组行腹腔镜下卵巢囊肿剥除术。随访6个月,观察两组临床疗效、治疗后性激素水平及卵巢储备功能等。结果 总有效率:观察组93.10%(54/58),对照组77.89%(45/58),组间差异具有统计学意义(P <0.05);治疗后对照组AMH水平(3.22±0.44)ng/mL、观察组(3.03±0.38)ng/m L,差异有统计学意义(P <0.05);治疗后窦状卵泡数、卵泡刺激素、雌二醇:两组对比差异无统计学意义(P>0.05)。结论 采用经腹腔镜下卵巢囊肿剥除术,有助于改善卵巢储备功能,值得临床推广。

Objective:To investigate the clinical effect of laparoscopic ovarian cystectomy on ovarian reserve.Methods:Totally,116 patients with ovarian cysts were admitted and treated in our hospital from January 2017 to December 2017.They were randomly divided into test group(n=58)and control group(n=58).Patients in control group performed transabdominal ovarian cystectomy,while patients in test group performed ovarian cystectomy by laparoscopy.The female hormones,and ovarian-reserve function were compared between the two groups.Results:After six months,the total effective rate of test group(93.10%)was significantly higher than that of control group(77.89%).The level of AMH in control group was significantly higher than that in test group[(3.22±0.44)ng/mL vs.(3.03±0.38)ng/mL](P<0.05).However,there was no significant difference in antral follicle counts,follicle stimulating hormone,and estradiol between the two groups(P>0.05).Conclusions:Laparoscopic ovarian cystectomy can help to improve ovarian reserve,worthy of clinical application.