良性卵巢肿瘤术后对卵巢储备功能的影响

Impact on the ovarian reserve function after benign ovarian tumor surgery

目的探讨卵巢良性肿瘤剥除术对卵巢储备功能的影响,采用最优方法保护卵巢储备功能。方法选取2015-04-2016-04共82例腹腔镜卵巢良性肿瘤剥除术的患者,其中单侧剥除手术患者58例,设为试验组;双侧剥除患者24例,设为对照组,比较术后两组的临床B超及血清E2、FSH、LH激素指标变化,讨论其对卵巢储备功能的影响。结果试验组术后E2、FSH、LH较术前差异无统计学意义,与对照组相比均降低,差异有统计学意义,P<0.05。对照组24例患者术后B超卵子数、卵巢体积显著少于试验组,差异有统计学意义,P<0.05。结论腹腔镜下对单侧卵巢肿瘤剥除术对卵巢功能的影响小于双侧卵巢肿瘤剥除术,且对卵巢内分泌影响较小。双侧卵巢肿瘤剥除术术后卵巢储备功能有一定降低,手术中应尽量对卵巢储备功能进行保护。

OBJECTIVE To explore the ovarian benign tumor removal surgery's influence on the ovarian reserve function,the optimal method to protect the ovarian reserve function.METHODS Select contrast analysis of the April2013-April 2014 ayear,a total of 82 cases of patients with laparoscopic ovarian benign tumor removal surgery,including58 patients with unilateral removal surgery,as the experimental group;24patients with bilateral stripping,set as control group,compared two groups of postoperative clinical ultrasound and the change of serum E2,FSH,LH hormone indexes,discuss its effect on the ovarian reserve function.RESULTS Experimental postoperative E2,FSH,LH,preoperative no significant changes,compared with the control group were lower,there is significant difference(P<0.05).Control group of 24 patients with postoperative B to exceed the egg count,ovarian volume significantly less than the experimental group,the difference is statistically significant(P<0.05).CONCLUSION To unilateral laparoscopic ovarian tumor removal effect on ovarian function is less than the bilateral ovarian tumor removal surgery,and a smaller effect on ovarian endocrine.Bilateral ovarian reserve function after surgery for ovarian tumor removal surgery have decreased,should as far as possible on the ovarian reserve function in the operation of protection.