腹腔镜卵巢子宫内膜异位囊肿水压剥除及缝合止血对卵巢子宫内膜异位囊肿患者的影响
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摘要
目的探讨腹腔镜卵巢子宫内膜异位囊肿水压剥除及缝合止血对卵巢子宫内膜异位囊肿患者的影响。方法选取我院2017年2月～2018年8月收治的95例卵巢子宫内膜异位囊肿患者,随机分为观察组(50例)与对照组(45例)。观察组采用腹腔镜卵巢子宫内膜异位囊肿水压剥除及缝合止血,对照组采用卵巢子宫内膜异位囊肿直接剥离及电凝止血。观察两组术后不同时间点各类激素水平及窦卵泡(AFC)个数。结果术后48 h及术后3个月时,观察组患者的血清卵泡刺激素(FSH)水平均高于对照组,抗缪勒管激素(AMH)、雌二醇(E_2)水平及AFC均低于对照组,差异有统计学意义(P<0.05)。结论卵巢子宫内膜异位囊肿患者应用腹腔镜卵巢子宫内膜异位囊肿水压剥除及缝合止血能有效避免卵巢皮质损伤,减轻对卵巢储备功能的损害。
Objective To investigate the influence of laparoscopic ovarian endometriosis cyst hydroentral stripping and suture hemostasis on patients with ovarian endometriosis cyst. Methods A total of 95 patients with ovarian endometriotic cysts admitted to our hospital from February 2017 to August 2018 were selected and randomly divided into the observation group(50 cases) and the control group(45 cases). The observation group was treated with laparoscopic ovarian endometriosis cyst hydroponic extraction and suture hemostasis, and the control group was treated with direct detachment of ovarian endometriotic cyst and electrocoagulation hemostasis. The levels of various hormones and the number of antral follicles(AFC) at different time points after operation were observed between the two groups. Results At 48 h after operation and 3 months after operation, the serum follicle stimulating hormone(FSH) level in the observation group was higher than that in the control group, and the anti-ullerian hormone(AMH), estradiol(E_2) levels and AFC in the observation group were lower than those in the control group, and the difference was statistically significant(P<0.05).Conclusion Patients with ovarian endometriotic cysts with lap roscopic ovarian endometriosis cystic pressure stripping and suture hemostasis can effectively avoid ovarian cortical injury and reduce damage to ovarian reserve function.
Objective To investigate the influence of laparoscopic ovarian endometriosis cyst hydroentral stripping and suture hemostasis on patients with ovarian endometriosis cyst. Methods A total of 95 patients with ovarian endometriotic cysts admitted to our hospital from February 2017 to August 2018 were selected and randomly divided into the observation group(50 cases) and the control group(45 cases). The observation group was treated with laparoscopic ovarian endometriosis cyst hydroponic extraction and suture hemostasis, and the control group was treated with direct detachment of ovarian endometriotic cyst and electrocoagulation hemostasis. The levels of various hormones and the number of antral follicles(AFC) at different time points after operation were observed between the two groups. Results At 48 h after operation and 3 months after operation, the serum follicle stimulating hormone(FSH) level in the observation group was higher than that in the control group, and the anti-ullerian hormone(AMH), estradiol(E_2) levels and AFC in the observation group were lower than those in the control group, and the difference was statistically significant(P<0.05).Conclusion Patients with ovarian endometriotic cysts with lap roscopic ovarian endometriosis cystic pressure stripping and suture hemostasis can effectively avoid ovarian cortical injury and reduce damage to ovarian reserve function.
引文
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[13]黄山鹰,唐国玲,都红蕾,等.腹腔镜手术联合垂体后叶素治疗卵巢子宫内膜异位囊肿的疗效及对相关激素水平的影响[J].腹腔镜外科杂志,2018,23(5):389-392.
[14]洪安澜,杨丽,马彩玲,等.腹腔镜卵巢子宫内膜异位囊肿剥除术对AMH影响的Meta分析[J].中国妇幼健康研究,2018,29(5):580-587.
[15]卢烨.不同卵巢子宫内膜异位囊肿剥除术对卵巢功能的影响[J].中国药物与临床,2016,16(4):571-574.
[2]李芳,甘晓卫,曹云桂,等.腹腔镜卵巢子宫内膜异位囊肿剥除联合CO2激光消融术对卵巢储备功能的影响[J].中国微创外科杂志,2015,15(6):518-521.
[3]郑爱梅,刘曼华.卵巢子宫内膜异位囊肿腹腔镜剥离术中不同止血方法对卵巢功能的影响[J].临床和实验医学杂志,2016,15(20):1990-1993.
[4]王凤英,程玲慧.卵巢子宫内膜异位囊肿剥除术后复发因素分析[J].山东医药,2016,56(19):65-67.
[5]汪俊,王芳,潘伟,等.腹腔镜卵巢子宫内膜异位囊肿剥除术中150例缝合止血联合不同电凝治疗的疗效及预后分析[J].中国性科学,2018,27(6):50-53.
[6]苏悦,马志松,尹香花,等.腹腔镜下单侧卵巢子宫内膜异位囊肿剥除术后卵巢储备功能评估的临床研究[J].中华妇幼临床医学杂志(电子版),2017,13(1):93-98.
[7]王玲娟,魏薇.腹腔镜卵巢子宫内膜异位囊肿剥除术对卵巢储备功能的影响[J].中国生育健康杂志,2018,29(1):86-88,91.
[8]余湘玲.三种不同腹腔镜下囊肿处理方法治疗卵巢子宫内膜异位囊肿术后卵巢储备功能对比观察[J].山西医药杂志,2016,45(2):178-180.
[9]张潇潇,吕群.不同方式治疗卵巢子宫内膜异位囊肿对IVF-ET结局的影响[J].实用妇产科杂志,2016,32(4):272-274.
[10]肖丽.抗苗勒管激素在评价卵巢子宫内膜异位囊肿术后卵巢储备功能中的应用[J].实用妇产科杂志,2017,33(4):264-267.
[11]黄亚岚,刘晓红.手术方式对卵巢子宫内膜异位囊肿剥除术后卵巢功能影响[J].现代仪器与医疗,2018,24(2):49-50,61.
[12]郑爱梅,刘曼华.卵巢子宫内膜异位囊肿腹腔镜剥离术中不同止血方法对卵巢功能的影响[J].临床和实验医学杂志,2016,15(20):1990-1993.
[13]黄山鹰,唐国玲,都红蕾,等.腹腔镜手术联合垂体后叶素治疗卵巢子宫内膜异位囊肿的疗效及对相关激素水平的影响[J].腹腔镜外科杂志,2018,23(5):389-392.
[14]洪安澜,杨丽,马彩玲,等.腹腔镜卵巢子宫内膜异位囊肿剥除术对AMH影响的Meta分析[J].中国妇幼健康研究,2018,29(5):580-587.
[15]卢烨.不同卵巢子宫内膜异位囊肿剥除术对卵巢功能的影响[J].中国药物与临床,2016,16(4):571-574.