| 马彩莲 郝丽娜 朱君花 白翠云 刘阳 许娟.卵巢囊肿剥除术对卵巢囊肿患者术后卵巢储备功能的影响[J].,2016,16(28):5523-5526 |
| 卵巢囊肿剥除术对卵巢囊肿患者术后卵巢储备功能的影响 |
| Effect of Ovarian Reserve Function by Ovarian Cyst Stripping in Patients with Ovarian Cyst |
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| DOI： |
| 中文关键词: 卵巢囊肿 卵巢囊肿剥除术 卵巢储备功能 |
| 英文关键词: Ovarian cyst Ovarian cyst stripping Ovarian reserve function |
| 基金项目:陕西省自然科学基金项目(2013JM4023) |
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| 中文摘要: |
| 目的：探究卵巢囊肿剥除术对卵巢囊肿患者术后卵巢储备功能的影响。方法：选取我院收治的卵巢囊肿患者42 例，按照随机
数字表法分为实验组和对照组。对照组20例，采用经腹卵巢囊肿剥除术；实验组22 例，采用经腹腔镜下卵巢囊肿剥除术。对比两
组术后6 个月血清中的抗苗勒管激素（AMH）、卵泡刺激素（FSH）及雌二醇（E2）水平，超声下卵巢体积（Vol），窦状卵泡数（Fo）水
平等。结果：治疗后，实验组总有效率为(95.5%)高于对照组总有效率(75.0%)，差异有统计学意义(P<0.05)；与治疗前相比，两组患者
术后第6 个月血清FSH、E2水平及Vol、Fo 水平无明显变化，差异无统计学意义（P>0.05）；与治疗前相比，两组患者血清AMH 水
平较低，差异有统计学意义（P<0.05），且组间比较差异无统计学意义(P>0.05)。与对照组相比，实验组术中出血量较低，手术时间较
少，下床活动时间短(P<0.05)。结论：卵巢囊肿剥除术对于卵巢储备功能的恢复具有积极作用，有利于保证育龄女性卵巢功能的完
整，促进各基础性激素水平的恢复，尤其是采用腹腔镜卵巢囊肿剥除术出血少损伤小，病变清除彻底，术后恢复好。 |
| 英文摘要: |
| Objective:To investigate the effect of ovarian reserve function by ovarian cyst stripping in patients with ovarian cyst.Methods:42 cases with ovarian cyst from our hospital were collected and randomly divided into the experimental group and control
group. 20 cases in the control group were treated by transabdominal ovarian cyst, 22 cases in the experimental group were treated by
laparoscopic ovarian cyst. The serum anti-vaccine hormone (AMH), follicle stimulating hormone (FSH), estradiol (E2) levels, ultrasound
ovarian volume (Vol) and the number of follicles (Fo) and so on of two groups were compared 6 months after operation.Results:After
treatment, the total effective rate of experimental group (95.5%) was higher than the control group (75.0%), the difference was statistical
significance (P<0.05); compared with before treatment, the serum FSH, E2, Vol and Fo levels of both groups had no significant
difference at 6 months after operation (P>0.05); compared with before treatment, the serum AMH level of both groups was lower (P<0.
05); compared with the control group,the amount of bleeding during operation in the experimental group was lower, the operation time
and the time to get out of bed were shorter (P <0.05).Conclusion:Ovarian cyst stripping had positive effect on the restoration of ovarian
reserve function, which could ensure the integrity of the ovarian function of women at childbearing age, improve the basic levels of sex
hormones, laparoscopic ovarian cyst had less bleeding and small damage, completely removed the lesions. |
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