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目的探讨经腹腔镜与经腹行卵巢肿瘤剥除手术对卵巢功能的影响。方法 132例卵巢肿瘤患者为研究对象,依循随机原则分为对照组和观察组,每组66例。对照组采取经腹行卵巢肿瘤剥除手术,观察组采用腹腔镜下卵巢肿瘤剥除手术。评价两组患者术前及术后各阶段卵巢功能。结果观察组术后1、3个月卵泡生成激素(FSH)、黄体生成激素(LH)、雌二醇(E2)同术前比较,差异均具有统计学意义(P<0.05);两组术后各时段E2、LH、FSH比较,差异均具有统计学意义(P<0.05)。两组窦状卵泡数无明显变化。结论经腹腔镜行卵巢肿瘤剥除手术对患者卵巢近期各个激素水平影响较小,安全度高,值得临床推广应用。
Objective To investigate the effect of laparoscopic and transabdominal ovarian tumor excision on ovarian function. Methods 132 cases of ovarian cancer patients were divided into control group and observation group according to the random principle, with 66 cases in each group. The control group was transabdominal ovariectomized surgery, the observation group using laparoscopic ovarian tumor stripping surgery. Ovarian function was evaluated preoperatively and postoperatively in both groups. Results The levels of FSH, LH and E2 in the observation group at 1, 3 months after operation were significantly different from those before operation (P <0.05) The differences of E2, LH and FSH in each time period were statistically significant (P <0.05). No significant changes in the number of sinusoidal follicles in both groups. Conclusion Laparoscopic ovarian neoplasm stripping surgery has little effect on recent ovarian hormone levels and high safety, which is worthy of clinical application.