微创治疗对卵巢巧克力囊肿患者卵巢功能的影响探讨  

Exploration on the effect of minimally invasive treatment on ovarian function of patients with chocolate cyst of ovary

作　　者：陈丽娜[1] 林芸[1] 郭裕萍[1] 黄健萍[1] 朱伍[2] 

机构地区：[1]广东省中医院珠海医院,广东珠海519015 [2]广东省珠海市妇幼保健院

出　　处：《中国妇幼保健》2011年第13期1943-1945,共3页Maternal and Child Health Care of China

摘　　要：目的:探讨腹腔镜下和开腹卵巢巧克力囊肿剔除术后对卵巢功能的影响。方法:选择卵巢巧克力囊肿患者98例,分为腹腔镜组52例和开腹组46例,分别于术前、术后6个月、术后12个月抽血测定血清雌二醇、卵泡刺激素(FSH)的水平,同时比较两组术中术后及随访的各项指标。结果:两组术后6、12个月血清卵泡刺激素(FSH)水平升高、雌二醇(E2)水平下降,与术前比较,差异均有统计学意义,而两组之间比较,差异无统计学意义;两组手术均成功完成,术中出血量、术后病率、术后症状缓解率及住院时间相比,观察组显著低于对照组,差异有统计学意义(P<0.01);术后排气时间两组相比有统计学意义(P<0.05);手术时间及术后复发率两组相比,差异无统计学意义(P>0.05)。结论:腹腔镜下和开腹卵巢巧克力囊肿剔除术后均可影响卵巢功能,腹腔镜手术对卵巢功能的影响无明显加重,与开腹相比腹腔镜下卵巢巧克力囊肿剔除术具有创伤小,术中出血少,术后恢复快等优点,是一种较为理想的手术方法,值得推广。Objective：To explore the effects of resection under laparoscope and transabdominal resection on ovarian function of patients with chocolate cyst of ovary.Methods：98 patients with chocolate cyst of ovary were selected and divided into laparoscopy group（52 patients） and transabdominal resection group（46 patients）;the serum levels of estradiol and follicle-stimulating hormone（FSH） in the two groups were detected at 6 and 12 months after operation,the various index during and after operation in the two groups were compared.Results：At 6 and 12 months after operation,the serum level of FSH increased,the serum level of estradiol decreased in the two groups,there was significant difference before and after operation in the two groups,but there was no significant difference between the two groups;the operations in the two groups were completed successfully;the amount of blood loss during operation,postoperative morbidity,the remission rate of postoperative symptoms and hospitalization time in observation group were significantly lower than those in control group（P0.01）;there was significant difference in postoperative exhaust time between the two groups（P0.05）;there was no significant difference in operation time and recurrence rate after operation between the two groups（P0.05）.Conclusion：Resection of cysts under laparoscope and transabdominal resection of cysts both affect the ovarian function,the effect of laparoscopy on ovarian function doesn＇t aggravate obviously;compared with transabdominal resection of cysts,resection of cysts under laparoscope has the advantages of minimal invasion,low amount of blood loss during pregnancy and rapid recovery after operation,which is a ideal method and is worthy to be popularized.

关 键 词：腹腔镜 卵巢巧克力囊肿 卵巢功能 激素水平 

分 类 号：R711.75[医药卫生—妇产科学]