双侧卵巢子宫内膜异位囊肿行腹腔镜下剔除术对卵巢储备功能及生育功能的影响  

Effect of laparoscopic bilateral ovarian endometriosis cystectomy on ovarian reserve function and reproductive function

作　　者：茅惠群 

机构地区：[1]江苏省苏州市吴江区第一人民医院妇产科,215200

出　　处：《中国妇幼保健》2014年第15期2387-2389,共3页Maternal and Child Health Care of China

基　　金：江苏省卫生厅科技项目〔20130408X〕

摘　　要：目的:探讨双侧卵巢子宫内膜异位囊肿腹腔镜下剔除术对卵巢储备功能及生育能力影响。方法:随机选择66例双侧卵巢子宫内膜异位囊肿的患者,分为对照组33例,采用传统的异位子宫内膜剔除术,腹腔镜组33例患者,采用水平腹腔镜囊肿剔除术,收集两组患者的一般资料,分别在手术前、术后2天、1、3、6个月检测患者体内血清LH、FSH、E2水平。结果:相比于对照组,腹腔镜组手术出血量及手术时间明显缩短(P<0.05)。结论:腹腔镜手术安全有效,对正常组织破坏较少,患者的生育功能一般在半年内均恢复正常,值得临床推广应用。Objective： To explore the effect of laparoscopic bilateral ovarian endometriosis cystectomy on ovarian reserve functioia and reproductive function. Methods： Sixty- six patients with bilateral ovarian endometriosis cyst were randomly selected and divided into two groups, 33 patients in control group were treated with traditional cystectomy, and 33 patients in laparoseope group were treated with lapa- roscopic cysteetomy; the general data of the two groups were collected ; the levels of serum luteinizing hormone （LH） , follicle - stimulating hormone （FSH） and estradiol before operation, at two days, one, three and six months were detected. Results： Compared with control group, the amount of intraoperative bleeding and operation time in laparoseope group shortened （ P 〈 0. 05 ） . Conclusion： Laparoscopic surgery is safe and effective, its damage to normal tissue is little, the reproductive function of the patients can return to normal with half a year, which is worthy clinical popularization and application.

关 键 词：卵巢储备 双侧卵巢囊肿 生育功能 子宫内膜异位 腹腔镜囊肿剔除术 

分 类 号：R711.75[医药卫生—妇产科学]