腹腔镜下卵巢囊肿剥除术与经腹卵巢囊肿剥除术对卵巢囊肿患者术后卵巢储备功能的影响

Effect of Laparoscopic Ovarian Cystectomy and Transabdominal Ovarian Cystectomy on Postoperative Ovarian Reserve Function in Patients with Ovarian Cyst

目的探讨经腹腔镜下卵巢囊肿剥除术与经腹卵巢囊肿剥除术对卵巢囊肿患者术后卵巢储备功能的影响。方法选取2019年1月-2021年1月我院收治的行卵巢囊肿剥除术的卵巢囊肿患者70例,以随机数字表法将患者分对照组和观察组,对照组35例采取经腹手术,观察组35例采取经腹腔镜下手术。比较两组临床指标、卵巢储备功能指标、血清炎症因子水平、术后疼痛评分及并发症发生情况。结果观察组手术时间、术中出血量、术后至首次下床活动时间、胃肠功能恢复时间和住院时间均优于对照组(P<0.05);观察组术后6、12、24、48、72 h VAS评分低于对照组(P<0.05);观察组术后LH和FSH水平低于对照组,E2和AMH水平高于对照组(P<0.05);观察组术后CRP、IL-6、PCT和TNF-α水平低于对照组(P<0.05);观察组并发症总发生率低于对照组(P<0.05)。结论卵巢囊肿患者经腹腔镜下行卵巢囊肿剥除术治疗能够减轻手术创伤,促进术后早期恢复,机体炎症反应低,促进卵巢储备功能恢复,且手术并发症更少,临床应用效果总体优于经腹卵巢囊肿剥除术。

Objective To investigate the effect of laparoscopic ovarian cystectomy and transabdominal ovarian cystectomy on postoperative ovarian reserve function in patients with ovarian cyst.Methods A total of 70 patients with ovarian cysts who underwent ovarian cystectomy in our hospital from January 2019 to January 2021 were selected and divided into control group and observation group by random number table method.35 patients in the control group underwent transabdominal surgery,and 35 patients in the observation group underwent laparoscopic surgery.The clinical indexes,preoperative and postoperative ovarian reserve function indexes,serum inflammatory factor levels,postoperative pain scores and complications were compared between the two groups.Results The operation time,intraoperative blood loss,postoperative to first ambulation time,gastrointestinal function recovery time and hospitalization time in the observation group were better than those in the control group(P<0.05).The VAS scores of the observation group were lower than those of the control group at 6,12,24,48 and 72 h after operation(P<0.05).The levels of LH and FSH in the observation group were lower than those in the control group,and the levels of E2 and AMH were higher than those in the control group(P<0.05).The levels of CRP,IL-6,PCT and TNF-αin the observation group were lower than those in the control group(P<0.05).The total incidence of complications in the observation group was lower than that in the control group(P<0.05).Conclusion Laparoscopic ovarian cystectomy for ovarian cyst patients can reduce surgical trauma,promote early postoperative recovery,reduce the body's inflammatory response,promote the recovery of ovarian reserve function,and have fewer surgical complications.The clinical application effect is generally better than transabdominal ovarian cystectomy.