客服中心
关注我们
全国服务热线：
18086415513
赛培新增产品文献：人缪勒管抑制物质/抗缪勒管激素(MIS/AMH)ELISA试剂盒
发布时间：2022-04-08 11:53:53
卵巢子宫内膜异位囊肿含卵泡组织患者 腹腔镜手术治疗分析
欧阳明秀 安徽省亳州市中医院妇产科，安徽亳州 236800 [摘要] 目的 分析卵巢子宫内膜异位囊肿含卵泡组织患者腹腔镜手术的治疗效果。 方法 选取 2017 年 6 月至 2020 年 10 月安徽省亳州市中医院接诊的 80 例卵巢子宫内膜异位囊肿含卵泡组织患者作为研究对象。按治疗方 式分为对照组与研究组，每组 40 例。 对照组采用开腹式剔除术，研究组采用腹腔镜卵剔除术。 手术前后，记录并 比较两组血清卵泡刺激素（FSH）、基础窦卵泡数（AFC）、雌二醇（E2）、抗苗勒管激素（AMH）、术中出血量、手术时 间、排气时间、住院时间、并发症总发生率及术后半年复发率。 结果 术后，两组 FSH 水平高于术前，AFC 水平低 于术前，差异有统计学意义（P ＜ 0.05）。 术后，研究组 FSH 水平低于对照组，差异有统计学意义（P ＜ 0.05）。 两组 AFC 水平比较，差异无统计学意义（P ＞ 0.05）。 术后，两组 E2 及 AMH 水平低于术前，且研究组低于对照组，差异 有统计学意义（P ＜ 0.05）。 研究组术中出血量低于对照组，手术时间、排气时间、住院时间短于对照组，差异有统 计学意义（P ＜ 0.05）。 研究组并发症总发生率低于对照组，差异有统计学意义（P ＜ 0.05）。 两组复发率比较，差异 无统计学意义（P ＞ 0.05）。 结论 卵巢子宫内膜异位囊肿含卵泡组织患者行腹腔镜手术治疗，对其卵泡组织影响 较小，且不会造成卵泡丢失，同时可有效降低手术并发症总发生率及复发率，具有临床应用价值，值得推广。 [关键词] 卵巢子宫内膜异位囊肿；卵泡组织；腹腔镜；并发症；复发率 [中图分类号] R711.2 [文献标识码] A [文章编号] 1673-7210（2021）10（c）-0110-04
Analysis of laparoscopic surgery for ovarian endometriosis cyst with follicular tissue
OUYANG Mingxiu Department of Obstetrics and Gynecology, Bozhou Hospital of Traditional Chinese Medicine, Anhui Province, Bozhou 236800, China [Abstract] Objective To analyze the effect of laparoscopic operation in the treatment of ovarian endometriosis cyst with follicular tissue. Methods Eighty patients with ovarian endometriosis cyst with follicular tissue treated in Bozhou Hospital of Traditional Chinese Medicine, Anhui Province from June 2017 to October 2020 were selected as research subjects. According to different treatment methods, they were divided into control group and study group, with 40 cases in each group. The control group was treated with laparotomy and the study group with laparoscopy. Before and after operation, serum follicle stimulating hormone (FSH), antral follicle count (AFC), estradiol (E2), anti-mullerin hormone (AMH), intraoperative blood loss, operation time, exhaust time, length of hospital stay, total incidence of complications, and recurrence rate half a year after operation of two groups were recorded and compared. Results After operation, the level of FSH in both groups were higher than those before operation, while the level of AFC was lower than that before operation, and the differences were statistically significant. After operation, the level of FSH in study group was lower than that in control group, and the difference was statistically significant (P < 0.05). There was no significant difference in AFC level between two groups (P > 0.05). After operation, the levels of E2 and AMH in two groups were lower than those before operation, and study group was lower than control group, and the differences were statistically significant (P < 0.05). The the amount of intraoperative blood loss was lower than that of control group, and operation time, exhaust time, and length of hospital stay of study group were shorter than those of control group, and the differences were statistically significant (P < 0.05). The total incidence of complications in study group was lower than that in control group, and the difference was statistically significant (P < 0.05). There was no significant difference in recurrence rate between two groups (P > 0.05). Conclusion Laparoscopic operation for patients with ovarian endometriosis cyst with follicular tissue has little impact on the follicular tissue, and will not cause follicular loss, and can effectively reduce the total incidence of operation complications and recurrence rate, which has clinical application value and is worth promoting. [Key words] Ovarian endometriosis cyst; Follicular tissue; Laparoscope; Complication；Recurrence rate
卵巢子宫内膜异位囊肿含卵泡组织患者腹腔镜手术治疗分析_欧阳明秀.pdf
