育龄期卵巢囊肿患者剔除术后卵巢储备功能的影响因素分析

Analysis of Influencing Factors of Ovarian Reserve Function in Patients with Ovarian Cysts of Childbearing Age After Removal

目的:分析育龄期卵巢囊肿患者剔除术后卵巢储备功能的影响因素。方法:选取2021年1月—2022年1月江西省赣县区人民医院120例行腹腔镜下卵巢囊肿剔除术的育龄期患者作为研究对象,统计患者术后卵巢储备功能下降率,并根据患者是否发生卵巢储备功能下降,将其分为发生组与未发生组。经单因素及logistic回归分析剔除术后卵巢储备功能的影响因素。结果:120例育龄期卵巢囊肿患者中剔除术后有18例发生了卵巢储备功能减退(DOR),发生率为15.00%;两组患者患侧、手术方式、止血方式、医师经验比较,差异有统计学意义(χ^(2)=6.920、7.138、7.353、5.056,P<0.05);logistic回归分析结果显示,双侧囊肿、单孔手术、电凝止血、医师经验匮乏均是育龄期卵巢囊肿患者剔除术后是否发生DOR的影响因素(OR>1,P<0.05)。结论:育龄期卵巢囊肿患者剔除术后存在卵巢储备功能下降的情况,受到双侧囊肿、单孔手术、电凝止血、医师经验匮乏等因素影响。

Objective:To analyze the influencing factors of ovarian reserve function in patients with ovarian cysts of childbearing age after removal.Methods:120 patients of childbearing age who underwent laparoscopic ovarian cystectomy in the hospital from January 2021 to January 2022 were selected as the study subjects.The rate of decline in ovarian reserve function of patients after surgery was counted,and the patients were divided into two groups according to whether they had decreased ovarian reserve function or not.The influencing factors of ovarian reserve function after surgery were eliminated by one-way and logistic regression analysis.Results:DOR occurred in 18 of 120 patients with ovarian cysts of childbearing age after removal,with an incidence of 15.00%.There were statistically significant differences between the two groups on the affected side,operation method,hemostatic method and physician experience(χ^(2)=6.920,7.138,7.353,5.056;P<0.05).The results of logistic regression analysis show that bilateral cysts,single-hole surgery,electrocoagulation hemostasis,and lack of experience of doctors were all factors affecting whether DOR occurred in patients with ovarian cysts of childbearing age after removal(OR>1,P<0.05).Conclusion:There is a decline in ovarian reserve function in patients with ovarian cysts of childbearing age after removal,which is influenced by factors,such as bilateral cysts,single-hole surgery,electrocoagulation hemostasis,and lack of doctors’experience,etc.