GnRH-a联合经脐腹腔镜卵巢囊肿剥除术治疗卵巢良性囊肿的效果及对术后恢复、妊娠率的影响  

The effect of GnRH-a combined with transumbilical laparoscopic ovarian cystectomy for the treatment of benign ovarian cysts and its impact on postoperative recovery and pregnancy rate

作　　者：马莉[1] 金云峰[1] 邹美林 倪惠华 李慧[1] Ma Li;Jin Yunfeng;Zou Meilin;Ni Huihua;Li Hui(Department of and Gynecology,Rugao People's Hospital,Rugao 226500,China)

机构地区：[1]如皋市人民医院妇科,江苏如皋226500

出　　处：《实用妇科内分泌电子杂志》2024年第9期11-13,共3页Electronic Journal of Practical Gynecological Endocrinology

基　　金：2022年度南通市基础科学研究和社会民生科技计划项目(编号JCZ2022023)。

摘　　要：目的探讨GnRH-a联合经脐腹腔镜卵巢囊肿剥除术治疗卵巢良性囊肿的效果及对术后恢复、妊娠率的影响。方法选取本院150例卵巢良性囊肿患者为研究对象,随机分为两组,各75例。对照组采用经脐腹腔镜卵巢囊肿剥除术治疗,试验组采用GnRH-a联合经脐腹腔镜卵巢囊肿剥除术治疗,比较治疗效果。结果试验组治疗总有效率为96.00%,高于对照组的86.67%,差异有统计学意义(P<0.05);试验组月经经血量异常率、月经周期异常率低于对照组,临床妊娠率高于对照组,差异有统计学意义(P<0.05);术后3个月经周期时,试验组黄体生成素、雌二醇及卵泡刺激素水平低于对照组(P<0.05)。结论GnRH-a联合经脐腹腔镜卵巢囊肿剥除术治疗卵巢良性囊肿,效果显著,值得推广应用。Objective To explore the effect of GnRH-a combined with transumbilical laparoscopic ovarian cystectomy for the treatment of benign ovarian cysts and its impact on postoperative recovery and pregnancy rate.Methods 150 patients with benign ovarian cysts in our hospital were selected as the research subjects and randomly divided into two groups,with 75 cases in each group.The control group was treated with transumbilical laparoscopic ovarian cystectomy,while the experimental group was treated with GnRH-a combined with transumbilical laparoscopic ovarian cystectomy.The treatment effects were compared.Results The total effective rate of the experimental group was 96.00%,which was higher than the control group's 86.67%,and the difference was statistically significant(P<0.05);The abnormal rate of menstrual blood volume and menstrual cycle in the experimental group was lower than that in the control group,and the clinical pregnancy rate was higher than that in the control group,with statistical significance(P<0.05);During the three menstrual cycles after surgery,the levels of luteinizing hormone,estradiol,and follicle stimulating hormone in the experimental group were lower than those in the control group(P<0.05).Conclusion The combination of GnRH-a and transumbilical laparoscopic ovarian cystectomy for the treatment of benign ovarian cysts is effective and worthy of promotion and application.

关 键 词：促性腺激素释放激素激动剂 经脐腹腔镜卵巢囊肿剥除术 卵巢良性囊肿 

分 类 号：R737.31[医药卫生—肿瘤]