腹腔镜与开腹卵巢囊肿剔除术的治疗效果及患者卵巢功能的影响

Effect of laparoscopic and open ovarian cyst removal and its effect on ovarian function

目的探讨腹腔镜与开腹卵巢囊肿剔除术的治疗效果及其对卵巢功能的影响。方法选取2019年1月~2020年4月上饶市人民医院妇产科收治的110例卵巢囊肿患者作为研究对象,按照摸球法将其分为对照组与研究组,每组各55例。对照组患者采用开腹卵巢囊肿剔除术,研究组患者采用腹腔镜卵巢囊肿剔除术。比较两组患者的手术治愈率以及术后3个月卵巢功能指标。结果两组患者的手术治愈率比较,差异无统计学意义(P>0.05)。术后3个月,研究组患者的搏动指数(PI)、阻力指数(RI)、血清促卵泡激素(FSH)、促黄体激素(LH)水平均低于对照组,雌二醇(E2)水平高于对照组,差异有统计学意义(P<0.001)。结论与开腹卵巢囊肿剔除术比较,腹腔镜卵巢囊肿剔除术的治疗效果更佳,在改善患者卵巢功能方面优势突出,可借鉴。

Objective To investigate the therapeutic effect of laparoscopic and open ovarian cyst removal and its effect on ovarian function.Methods A total of 110 cases of ovarian cyst patients admitted to the Department of Gynecology and Obstetrics of Shangrao People′s Hospital from January 2019 to April 2020 were selected as the research objects.They were divided into control group and study group according to touch ball method,with 55 cases in each group.Open ovarian cyst removal was performed in the control group,and laparoscopic ovarian cyst removal was performed in the study group.The operative cure rate and ovarian function indexes 3 months after operation were compared between the two groups.Results There was no significant difference in the operative cure rate between the two groups(P>0.05).Three months after operation,the levels of pulsatile index(PI),resistance index(RI),serum follicle stimulating hormone(FSH)and luteinizing hormone(LH)in the study group were lower than those in the control group,the level of estradiol(E2)was higher than that in the control group,and the differences were statistically significant(P<0.001).Conclusion Compared with open ovarian cyst removal,laparoscopic ovarian cyst removal has better therapeutic effect and outstanding advantages in improving the ovarian function of patients,which can be used for reference.