摘要
目的:探讨腹腔镜下改良锐性剥离术式对子宫内膜异位症(EMs)患者患侧卵巢窦卵泡计数(AFC)及卵巢体积的影响。方法:选择某院治疗的106例EMs患者,应用随机数表法分为观察组(53例)及对照组(53例)。对照组接受腹腔镜下常规钝性剥离术治疗,观察组接受腹腔镜下改良锐性剥离术治疗。观察2组患者不同部位标本厚度、手术前后患侧卵巢AFC、卵巢体积及性激素水平。结果:观察组卵巢门、中间处剥除病灶厚度低于对照组,差异有统计学意义(P<0.05);2组患者术前卵巢体积、AFC比较,差异无统计学意义(P>0.05),术后观察组高于对照组,差异有统计学意义(P<0.05);手术前后2组患者黄体生成激素(LH)、卵泡刺激素(FSH)水平比较,差异无统计学意义(P>0.05)。结论:腹腔镜下改良锐性剥离术有助于减少EMs患者患侧卵巢AFC的丢失及对卵巢正常组织的剥离程度,且对性激素影响较小。
Objective :To observe the effect of laparoscopic modified sharp dissection on affected ovarian antral follicle count (AFC) and ovarian volume in patients with endometriosis (EMs). Methods :106 patients with EMs treated in a hospital were selected and randomly divided into an observation group (53 cases) and a control group (53 cases).The control group was given laparoscopic conventional blunt dissection, while the observation group was treated with laparoscopic modified sharp dissection.The thickness of specimens in different parts, affected ovarian AFC, ovarian volume and sex hormone levels before and afteRsurgery in the two groups were observed. Results :The thickness of the ovarian hilum and middle removed lesions in the observation group was loweRthan that in the control group ( P <0.05). Before the surgery, there was no statistical difference in ovarian volume and AFC between the two groups ( P >0.05), but afteRthe surgery, the ovarian volume and AFC in the observation group were higheRthan those in the control group ( P <0.05). Before and afteRthe surgery, there was no statistical difference in the luteinizing hormone (LH) and follicle-stimulating hormone (FSH) between the two groups ( P >0.05). Conclusion : Laparoscopic modified sharp dissection foRpatients with EMs can reduce the loss of affected AFC, lessen the dissection of normal ovarian tissues, and have less effect on sex hormones.
作者
姜平平
JIANG Ping-ping(Department of Gynaecology and Obstetrics,Affiliated Hospital of XinyangVocational and Technical College,Henan 464000,China)
出处
《淮海医药》
CAS
2019年第3期249-251,共3页
Journal of Huaihai Medicine
