腹腔镜下卵巢囊肿剥除术治疗卵巢浆液性囊腺瘤的效果及对患者卵巢功能的影响

Effect of Laparoscopic Ovarian Cystectomy in the Treatment of Ovarian Serous Cystadenoma and the Impact on Ovarian Function of Patients

目的探讨腹腔镜下卵巢囊肿剥除术治疗卵巢浆液性囊腺瘤的效果及对患者卵巢功能的影响。方法选取2018年12月至2021年12月我院收治的80例卵巢浆液性囊腺瘤患者,随机分为观察组与对照组各40例。对照组采用开腹卵巢囊肿剥除术治疗,观察组采用腹腔镜下卵巢囊肿剥除术治疗。比较两组患者的相关手术指标、术后疼痛程度及血清抗缪勒氏管激素(AMH)水平。结果观察组的术中出血量少于对照组,手术时间、首次下床时间及住院时间均短于对照组(P<0.05)。术后1 d、3 d、7 d,观察组的VAS评分均低于对照组(P<0.05)。术后1个月,两组患者的血清AMH水平均低于术前,观察组的血清AMH水平高于对照组(P<0.05)。结论腹腔镜下卵巢囊肿剥除术治疗卵巢浆液性囊腺瘤的效果较好,可明显减轻患者术中创伤及术后疼痛程度,促进患者术后尽快恢复,且对患者卵巢功能的影响较小。

Objective To analyze the effect of laparoscopic ovarian cyst exfoliation in the treatment of ovarian serous cystadenoma and the impact on ovarian function of patients.Methods 80 patients with ovarian serous cystadenoma admitted to our hospital from December 2018 to December 2021 were selected and randomly divided into observation group and control group,with 40 cases in each group.The control group was treated with open ovarian cyst removal,and the observation group was treated with laparoscopic ovarian cystectomy.The related operation indicators,postoperative pain degree and serum anti Mullerian hormone(AMH)levels were compared between the two groups.Results The intraoperative blood loss of the observation group was less than that of the control group,and the operation time,first get-out-bed time and hospitalization time were shorter than those of the control group(P<0.05).At 1 day,3 days and 7 days after operation,the VAS scores of the observation group were lower than those of the control group(P<0.05).1 month after operation,the serum AMH levels of the two groups were lower than those before operation,but the serum AMH level of the observation group was higher than that of the control group(P<0.05).Conclusions Laparoscopic ovarian cystectomy has better effect in the treatment of ovarian serous cystadenoma,which can significantly reduce the intraoperative trauma and postoperative pain degree,and promote the postoperative recovery of patients as soon as possible,with less influence on the ovarian function of patients.