[1]徐 芳.经腹腔镜下卵巢囊肿剥除术与经腹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].医学信息,2022,35(21):104-106.[doi:10.3969/j.issn.1006-1959.2022.21.025]
　XU Fang.Effect of Laparoscopic Ovarian Cystectomy and Transabdominal Ovarian Cystectomy on Postoperative Ovarian Reserve Function in Patients with Ovarian Cyst[J].Journal of Medical Information,2022,35(21):104-106.[doi:10.3969/j.issn.1006-1959.2022.21.025]
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经腹腔镜下卵巢囊肿剥除术与经腹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()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年21期
页码:
104-106
栏目:
临床研究
出版日期:
2022-11-01

文章信息/Info

Title:
Effect of Laparoscopic Ovarian Cystectomy and Transabdominal Ovarian Cystectomy on Postoperative Ovarian Reserve Function in Patients with Ovarian Cyst
文章编号:
1006-1959（2022）21-0104-03
作者:
徐 芳
（乐平天湖医院妇产科，江西 乐平 333300）
Author(s):
XU Fang
(Department of Obstetrics and Gynecology,Leping Tianhu Hospital,Leping 333300,Jiangxi,China)
关键词:
卵巢囊肿; 卵巢囊肿剥除术; 卵巢储备功能; 腹腔镜
Keywords:
Ovarian cyst; Ovarian cyst removal; Ovarian reserve function; Laparoscopy
分类号:
R713.6
DOI:
10.3969/j.issn.1006-1959.2022.21.025
文献标志码:
A
摘要:
目的 探索经腹腔镜下卵巢囊肿剥除术与经腹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差异。方法 选取2017年11月-2021年1月在我院确诊为卵巢囊肿的患者共60例，采用随机数字表法分为观察组和对照组，每组30例。对照组行经腹卵巢囊肿剥除术，观察组行经腹腔镜下卵巢囊肿剥除术，比较两组手术相关指标（手术时间、术中和术后出血量及住院时间）、术后卵巢储备功能[黄体生成素（LH）、卵泡刺激素（FSH）、雌激素（E2）和抗缪勒氏管激素（AMH）]、血清炎症因子[C反应蛋白（CRP）、白介素6（IL-6）和降钙素原（PCT）]及并发症发生情况。结果 观察组手术时间、术中出血量和住院时间均低于对照组，差异有统计学意义（P＜0.05）；观察组术后出血量略低于对照组，但差异无统计学意义（P＞0.05）；观察组LH、FSH水平低于对照组，E2和AMH水平高于对照组，差异有统计学意义（P＜0.05）；观察组CRP、IL-6、PCT水平低于对照组，差异有统计学意义（P＜0.05）；两组术后并发症发生率比较，差异无统计学意义（P＞0.05）。结论 经腹腔镜下卵巢囊肿剥除术与经腹卵巢囊肿剥除术相比，对卵巢囊肿患者术后卵巢储备功能的影响更小，手术时间短、出血量少，患者炎性因子水平低，并发症少，安全性高，值得临床应用。
Abstract:
Objective To explore the effect of laparoscopic ovarian cystectomy and transabdominal ovarian cystectomy on postoperative ovarian reserve function in patients with ovarian cysts.Methods A total of 60 patients with ovarian cysts diagnosed in our hospital from November 2017 to January 2021 were randomly selected and divided into observation group and control group by random number table method, with 30 cases in each group. The control group underwent transabdominal ovarian cystectomy, and the observation group underwent laparoscopic ovarian cystectomy. The operation-related indicators (operation time, intraoperative and postoperative bleeding volume and hospitalization time), postoperative ovarian reserve function [luteinizing hormone (LH), follicle stimulating hormone (FSH), estrogen (E2) and anti-Mullerian hormone (AMH)], serum inflammatory factors [C-reactive protein (CRP), interleukin 6 (IL-6) and procalcitonin (PCT)] and complications were compared between the two groups.Results The operation time, intraoperative blood loss and hospitalization time of the observation group were lower than those of the control group, and the differences were statistically significant (P<0.05). The amount of postoperative bleeding in the observation group was slightly lower than that in the control group, but the difference was not statistically significant (P>0.05). The levels of LH and FSH in the observation group were lower than those in the control group, and the levels of E2 and AMH were higher than those in the control group, the difference was statistically significant (P<0.05). The levels of CRP, IL-6 and PCT in the observation group were lower than those in the control group, and the difference was statistically significant (P<0.05). There was no significant difference in the incidence of postoperative complications between the two groups (P>0.05).Conclusion Compared with transabdominal ovarian cystectomy, laparoscopic ovarian cystectomy has less effect on postoperative ovarian reserve function in patients with ovarian cysts, shorter operation time, less bleeding, lower inflammatory factor level, fewer complications and higher safety, which is worthy of clinical application.

参考文献/References:

[1]Henes M,Engler T,Taran FA,et al.Ovarian cyst removal influences ovarian reserve dependent on histology, size and type of operation[J].Womens Health(Lond),2018,14:1745506518778992.[2]Abrahamsson G,Ekerhovd E,Janson PO,et al.Ovarian cyst formation in women of reproductive age receiving mitotane as part of the treatment of adrenocortical carcinoma: Clinical and experimental observations[J].Acta Obstet Gynecol Scand,2020,99(10):1297-1302.[3]Hizkiyahu R,Yahav L,Yakovi S,et al.Short- and long-term outcomes of intraoperative spillage during laparoscopic removal of benign ovarian cysts[J].Surg Endosc,2020,34(9):3883-3887.[4]Shaltout MF,Elsheikhah A,Maged AM,et al.A randomized controlled trial of a new technique for laparoscopic management of ovarian endometriosis preventing recurrence and keeping ovarian reserve[J].J Ovarian Res,2019,12(1):66.[5]Deckers P,Ribeiro SC,Simòes RDS,et al.Systematic review and meta-analysis of the effect of bipolar electrocoagulation during laparoscopic ovarian endometrioma stripping on ovarian reserve[J].Int J Gynaecol Obstet,2018,140(1):11-17.[6]Brand?觓o FAS,Alves BG,Alves KA,et al.Laparoscopic ovarian biopsy pick-up method for goats[J].Theriogenology,2018,107:219-225.[7]Esposito C,Gargiulo F,Farina A,et al.Laparoscopic Treatment of Inguinal Ovarian Hernia in Female Infants and Children: Standardizing the Technique[J].J Laparoendosc Adv Surg Tech A,2019,29(4):568-572.[8]Shigemi D,Matsui H,Fushimi K,et al.Laparoscopic Compared With Open Surgery for Severe Pelvic Inflammatory Disease and Tubo-Ovarian Abscess[J].Obstet Gynecol,2019,133(6):1224-1230.[9]Younis JS,Shapso N,Fleming R,et al.Impact of unilateral versus bilateral ovarian endometriotic cystectomy on ovarian reserve:a systematic review and meta-analysis[J].Hum Reprod Update,2019,25(3):375-391.[10]Rodgers R,Carter J,Reid G,et al.The effect of laparoscopic salpingectomy for ectopic pregnancy on ovarian reserve[J].Aust N Z J Obstet Gynaecol,2020,60(2):278-283.[11]Abdelmeguid Y,Yakout N,Oshiba A,et al.Huge ovarian cyst in a neonate with classical 21-hydroxylase deficiency[J].Clin Pediatr Endocrinol,2021,30(1):57-60.[12]Sweed MS,Makled AK,El-Sayed MA,et al.Ovarian Reserve Following Laparoscopic Ovarian Cystectomy vs Cyst Deroofing for Endometriomas[J].J Minim Invasive Gynecol,2019,26(5):877-882.[13]Zhu G,Kong J,Fu X,et al.Identification of differentially expressed proteins associated with recurrence in ovarian endometriotic cysts[J].Syst Biol Reprod Med,2020,66(1):59-69.[14]Sahmay S,Aydogan Mathyk B,Sofiyeva N,et al.Serum AMH levels and insulin resistance in women with PCOS[J].Eur J Obstet Gynecol Reprod Biol,2018,224:159-164.[15]Iijima M,Hayashi S,Kobayashi Y,et al.Laparoscopic Surgery for Ovarian Cyst Infection with Avoidance of Ureteral Injury and Uterine Perforation following Intrauterine Insemination after Abdominal Modified Radical Trachelectomy[J].Case Rep Obstet Gynecol,2019,2019:8607417.[16]Felemban AA,Rashidi ZA,Almatrafi MH,et al.Autoimmune hemolytic anemia and ovarian dermoid cysts in pregnancy[J].Saudi Med J,2019,40(4):397-400.[17]Zhao Q,Luo J,Zhang Q,et al.Laparoscopic surgery for primary ovarian and retroperitoneal hydatid disease: A case report[J].Medicine (Baltimore),2018,97(3):e9667.

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更新日期/Last Update: 1900-01-01