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目的探讨腹腔镜下行卵巢囊肿剥除术对卵巢功能的影响。方法选择我院2008年1月～2009年1月收治的88例卵巢囊肿患者做为研究对象,根据患者的意愿将88例患者分成两组,观察组45例,行腹腔镜下卵巢囊肿剥除术,对照组43例,行传统开腹手术,比较两组患者术后月经变化,围绝经期综合症发生情况及性激素变化。结果术后对两组患者进行2年随访,观察组的术后月经变化及围绝经期综合症发生情况明显低于对照组(P<0.01),有统计学意义;而对照组在术后E2明显降低(P<0.05),有统计学意义;两组患者在手术前后FSH,LH的差异不明显(P>0.05),无统计学意义。结论腹腔镜下行卵巢囊肿剥除术是一种安全有效的治疗卵巢囊肿的方法 ,具有创伤小,操作简单,对卵巢功能影响小等特点,可在临床广泛应用。
Objective To investigate the effect of laparoscopic ovarian cyst excision on ovarian function. Methods A total of 88 patients with ovarian cysts admitted to our hospital from January 2008 to January 2009 were enrolled in this study. According to the patients’ wishes, 88 patients were divided into two groups. In the observation group, 45 patients underwent laparoscopic ovarian cyst removal In the control group, 43 cases underwent traditional laparotomy. The postoperative menstrual changes, the incidence of perimenopausal syndrome and sex hormones were compared between the two groups. Results After 2 years of follow-up, the postoperative menstrual changes and the incidence of perimenopausal syndrome in the observation group were significantly lower than those in the control group (P <0.01), and the difference was statistically significant (P <0.05), with statistical significance. There was no significant difference in FSH and LH between the two groups before and after operation (P> 0.05), which had no statistical significance. Conclusion Laparoscopic ovarian cyst stripping is a safe and effective method for the treatment of ovarian cysts. It is characterized by small trauma, simple operation and small effect on ovarian function. It can be widely used in clinical practice.