腹腔镜下卵巢巧克力囊肿剥除术后对患者卵巢功能影响的观察

Observation on the effect of laparoscopic removal of ovarian chocolate cyst on ovarian function

目的:观察经腹腔镜行卵巢巧克力囊肿剥除术后患者卵巢储备功能的变化。方法:2016年6月-2019年6月收治腹腔镜下卵巢巧克力囊肿剥除术患者82例,观察术前、术后卵巢储备功能变化。结果:单侧囊肿者,术后1个月血清卵泡刺激素水平显著高于术前、雌二醇水平显著低于术前,差异有统计学意义(P<0.05);术后3个月激素水平与术前比较,差异无统计学意义(P>0.05)。双侧囊肿者,术后1个月、3个月血清卵泡刺激素水平均显著高于术前、雌二醇水平显著低于术前,差异有统计学意义(P<0.05);单侧囊肿与双侧囊肿自然妊娠率比较,差异无统计学意义(P>0.05)。结论:腹腔镜下卵巢巧克力囊肿剥除术可作为临床首选术式,但应重视手术各环节,以此保证手术质量,降低对卵巢功能的影响。

Objective:To observe the changes of ovarian reserve function in patients with ovarian chocolate cyst removal by laparoscopy.Methods:From June 2016 to June 2019,82 patients with laparoscopic ovarian chocolate cystectomy were selected.The changes of ovarian reserve function before and after operation were observed.Results:One month after operation,the level of serum follicle stimulating hormone in patients with unilateral cyst was significantly higher than that before operation,and the level of estradiol was significantly lower than that before operation,the difference was statistically significant(P<0.05).There was no significant difference in hormone level between 3 months after operation and before operation(P>0.05).In patients with bilateral cysts,the level of serum follicle-stimulating hormone at 1 and 3 months after operation was significantly higher than that before operation,and the level of estradiol was significantly lower than that before operation,the difference was statistically significant(P<0.05).There was no significant difference in the natural pregnancy rate between unilateral and bilateral cysts(P>0.05).Conclusion:Laparoscopic ovarian chocolate cyst removal can be used as the first choice in clinic,but attention should be paid to all aspects of the operation in order to ensure the quality of the operation and reduce the effect on ovarian function.