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目的通过与传统开腹手术治疗卵巢囊肿的比较,探讨腹腔镜手术对卵巢功能的影响。方法随机抽取进行腹腔镜手术的卵巢囊肿患者45例,作为观察组;抽取行传统的开腹手术的卵巢囊肿患者45例,作为对照组。对两组患者的术后6个月、12个月的激素水平进行比较,并比较两组患者的手术时间、术中出血量、平均住院天数等指标。结果两组患者术前性激素(E2、FSH、LH)无显著性差异(P>0.05),术后6、12个月,观察组与对照组比较,差异有统计学意义(P均<0.05)。观察组术后6个月、1年内月经不规律均显著少于对照组,差异有统计学意义(P<0.05)。腹腔镜组的术中出血量,术后胃肠功能恢复时间,下床活动时间,平均住院时间较对照组均显著降低,有显著性差异(P<0.05)。结论腹腔镜手术治疗卵巢囊肿对卵巢功能影响较小,是一种安全、有效的方法。
Objective To compare the effects of laparoscopic surgery on ovarian function by comparing with traditional laparotomy for ovarian cysts. Methods Forty-five patients with ovarian cyst undergoing laparoscopic surgery were randomly divided into observation group and 45 patients with ovarian cyst underwent conventional laparotomy as the control group. The two groups of patients after 6 months, 12 months of hormone levels were compared and compared the two groups of patients operating time, blood loss, the average length of stay and other indicators. Results There was no significant difference in preoperative sex hormones (E2, FSH, LH) between the two groups (P> 0.05). After 6 and 12 months, the difference between the observation group and the control group was statistically significant (all P <0.05) . Observation group 6 months after surgery, 1 year irregular menstruation were significantly less than the control group, the difference was statistically significant (P <0.05). Laparoscopic group intraoperative blood loss, postoperative gastrointestinal function recovery time, bed ambulation time, the average hospital stay were significantly lower than the control group, a significant difference (P <0.05). Conclusion Laparoscopic surgery for ovarian cysts has little effect on ovarian function, which is a safe and effective method.