摘要
目的探讨腹腔镜下与经腹卵巢囊肿剥除术对患者卵巢储备功能的影响。方法选择2015年1月～2017年1月在我院诊断治疗的卵巢囊肿患者100例的临床资料进行回顾性分析。其中50例患者采用经腹手术治疗为对照组,50例患者采用腹腔镜下手术治疗为观察组。比较两组手术情况,包括术中出血量、手术时间、术后下床活动时间。分别于术前及术后6个月检测AMH、FSH、E2水平。结果观察组手术时间短于对照组,术中出血量少于对照组,术后下床时间早于对照组,差异有统计学意义(P<0.05)。两组治疗前E2、FSH水平比较差异无统计学意义(P>0.05);治疗后观察组AMH水平与治疗前差异无统计学意义(P>0.05);对照组治疗后AMH水平低于治疗前,差异有统计学意义(P<0.05);治疗后观察组AMH水平显著高于对照组,差异有统计学意义(P<0.05)。结论腹腔镜下卵巢囊肿剥除术对患者AMH影响更小,并且手术时间短,创伤小,术后恢复快。
Objective To investigate the effect of laparoscopic and transabdominal ovarian cystectomy on ovarian reserve function in the patients. Methods The clinical data of 100 patients with ovarian cysts who were diagnosed and treated in our hospital from January 2015 to January 2017 were selected and retrospectively analyzed. 50 patients were given transabdominal surgery and were assigned in the control group. Another 50 patients were given laparoscopic surgery and were assigned in the observation group. The operation conditions of the two groups were compared, including the amount of intraoperative blood loss, the operation time, and the time of postoperative off-bed activity. AMH, FSH, and E2 levels were measured before surgery and 6 months after surgery. Results The operation time in the observation group was shorter than that in the control group. The intraoperative blood loss was less than that in the control group. The time of postoperative off-bed activity was earlier than that in the control group, and the difference was statistically significant（P〈0.05）. There was no statistically significant difference in the levels of E2 and FSH between the two groups before treatment（P〉0.05）; there was no statistically significant difference in AMH level in the observation group between after treatment and before treatment（P〉0.05）; the AMH level in the control group after treatment was lower than that before treatment, and the difference was statistically significant（P〈0.05）; after treatment, the AMH level in the observation group was significantly higher than that in the control group, and the difference was statistically significant（P〈0.05）. Conclusion Laparoscopic ovarian cystectomy has a less effect on patients＇ AMH, and the operation time is short, the trauma is small, and the postoperative recovery is fast.
作者
邵莹
SHAO Ying(Department of Gynecology and Obstetrics,Donggang Hospital of TCM in Liaoning Province,Donggang 118300,China)
出处
《中国现代医生》
2018年第31期54-56,59,共4页
China Modern Doctor
