| 摘要: |
| ［摘要］ 目的 比较腹腔镜与开腹卵巢囊肿剥除术对卵巢囊肿患者康复及卵巢功能的影响。方法 选择2018年2月至2020年2月廉江市妇幼保健院收治的卵巢囊肿患者84例，采用随机数字表法将其分为观察组与对照组，每组42例。对照组采用开腹手术治疗，观察组采用腹腔镜卵巢囊肿剥除术治疗。比较两组临床指标、卵巢功能指标［雌二醇（E2）、促卵泡激素（FSH）、抗苗勒管激素（AMH）］以及预后指标（复发率和妊娠率）。结果 观察组术中出血量少于对照组，手术时间、下床时间及住院时间短于对照组，比较差异均有统计学意义（P<0.05）。术后观察组E2、AMH水平高于对照组，FSH水平低于对照组，比较差异均有统计学意义（P<0.05）。观察组术后复发率显著低于对照组（4.76% vs 19.05%，P<0.05），妊娠率显著高于对照组（71.43% vs 45.24%，P<0.05）。结论 卵巢囊肿采用腹腔镜卵巢囊肿剥除术治疗创伤小，能够满足患者术后早日康复的需求，减少对卵巢功能的影响，降低疾病复发率，提高妊娠率。 |
| 关键词: 卵巢囊肿 腹腔镜卵巢囊肿剥除术 开腹手术 卵巢功能 复发率 |
| DOI：10.3969/j.issn.1674-3806.2021.10.14 |
| 分类号:R 713.6 |
| 基金项目: |
|
| Comparison of the effects of laparoscopic ovarian cystectomy and open removal of ovarian cysts on rehabilitation and ovarian function of patients with ovarian cysts |
|
LIN Mei
|
|
Department of Obstetrics, Lianjiang Maternal and Child Health Hospital, Guangdong 524400, China
|
| Abstract: |
| ［Abstract］ Objective To compare the effects of laparoscopic ovarian cystectomy and open removal of ovarian cysts on postoperative rehabilitation and ovarian function of patients with ovarian cysts. Methods Eighty-four patients with ovarian cysts admitted to Lianjiang Maternal and Child Health Hospital from February 2018 to February 2020 were selected and divided into observation group and control group by random number table method, with 42 cases in each group. The control group was treated with laparotomy, and the observation group was treated with laparoscopic ovarian cystectomy. The clinical indicators, ovarian function indicators［estradiol(E2), follicle stimulating hormone(FSH), anti-Müllerian hormone(AMH)］ and prognostic indicators(relapse rate and pregnancy rate) 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, the time of ambulation, and hospitalization time was shorter than that of the control group, and the differences were statistically significant(P<0.05). After surgery, the levels of E2 and AMH in the observation group were higher than those in the control group, and the level of FSH in the observation group was lower than that in the control group, and the differences were statistically significant(P<0.05). The postoperative recurrence rate of the observation group was significantly lower than that of the control group(4.76% vs 19.05%, P<0.05), and the pregnancy rate of the observation group was significantly higher than that of the control group(71.43% vs 45.24%, P<0.05). Conclusion Laparoscopic ovarian cystectomy is less invasive than laparotomy for the treatment of ovarian cysts and can meet the needs of the patients for early recovery after surgery, reduce the impact on ovarian function, reduce the recurrence rate of the disease, and increase the pregnancy rate. |
| Key words: Ovarian cysts Laparoscopic ovarian cystectomy Laparotomy Ovarian function Recurrence rate |
