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目的:探讨腹腔镜下卵巢囊肿剥除术的疗效及其对卵巢功能的影响。方法:将黔西南州人民医院2008年6月～2010年6月收治的120例卵巢囊肿患者随机分为观察组和对照组,对照组采用传统开腹卵巢囊肿剥除术,观察组采用腹腔镜下卵巢囊肿剥除术,镜下缝合止血,比较两组患者的临床效果、性激素水平、术后排卵、月经变化及妊娠情况。结果:观察组在手术时间、术中出血量、术后肛门排气时间、住院时间及应用抗生素的次数方面显著优于对照组(P<0.05)。观察组术后3个月、6个月时的雌二醇(E2)、黄体生成素(LH)、促卵泡激素(FSH)的水平与对照组比较无统计学差异(P>0.05)。且观察组术后3个月、6个月时的排卵、窦卵泡数、月经情况比较无统计学差异(P>0.05)。但观察组的妊娠高峰时间及妊娠率显著优于对照组(P<0.05)。结论:腹腔镜下卵巢剥除术较开腹手术更为安全、可靠,较开腹手术创伤小、术后恢复快,且采用镜下缝合术能减少卵巢损伤,更好保留其功能,提高妊娠率,术前要根据患者的具体情况选好适应证。
Objective: To investigate the efficacy of laparoscopic ovarian cyst excision and its effect on ovarian function. Methods: 120 cases of ovarian cysts treated in Qianxinan People’s Hospital from June 2008 to June 2010 were randomly divided into observation group and control group. The control group was treated by traditional open abdominal ovariectomy. The observation group was treated by laparoscopy Ovarian cyst stripping surgery, microscopic stitching hemostasis, the clinical effect of two groups of patients, sex hormone levels, postoperative ovulation, menstrual changes and pregnancy. Results: The observation group was significantly better than the control group (P <0.05) in terms of operation time, intraoperative blood loss, postoperative anal exhaust time, hospital stay and the number of antibiotics. The levels of estradiol (E2), luteinizing hormone (LH) and follicle stimulating hormone (FSH) in the observation group at 3 months and 6 months after operation were not significantly different from those in the control group (P> 0.05). There was no significant difference in ovulation, antral follicle count and menstruation between observation group 3 months and 6 months after operation (P> 0.05). However, the peak pregnancy time and pregnancy rate in the observation group were significantly better than those in the control group (P <0.05). Conclusions: Laparoscopic ovarian dissection is safer and more reliable than laparotomy, less traumatic than open laparotomy and quick recovery after operation. Microsurgical stitching can reduce ovarian damage, retain its function and improve pregnancy Rate, preoperative according to the specific circumstances of patients selected indications.