[1]张 靖.经腹腔镜下微创手术对卵巢囊肿患者血清创伤反应指标及卵巢储备功能的影响[J].医学信息,2020,33(05):116-118.[doi:10.3969/j.issn.1006-1959.2020.05.037]
　ZHANG Jing.Effects of Laparoscopic Minimally Invasive Surgery on Serum Trauma Response Indexes and Ovarian Reserve in Patients with Ovarian Cysts[J].Medical Information,2020,33(05):116-118.[doi:10.3969/j.issn.1006-1959.2020.05.037]
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经腹腔镜下微创手术对卵巢囊肿患者血清创伤反应指标及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:
33卷
期数:
2020年05期
页码:
116-118
栏目:
临床研究
出版日期:
2020-03-01

文章信息/Info

Title:
Effects of Laparoscopic Minimally Invasive Surgery on Serum Trauma Response Indexes and Ovarian Reserve in Patients with Ovarian Cysts
文章编号:
1006-1959（2020）05-0116-03
作者:
张 靖
（佳木斯市妇幼保健院妇产科，黑龙江 佳木斯 154002）
Author(s):
ZHANG Jing
(Department of Obstetrics and Gynecology,Jiamusi Maternal and Child Health Hospital,Jiamusi 154002,Heilongjiang,China)
关键词:
卵巢囊肿; 腹腔镜; 微创; 血清创伤反应; 卵巢储备功能
Keywords:
Ovarian cyst; Laparoscopy; Minimally invasive; Serum trauma response; Ovarian reserve function
分类号:
R713
DOI:
10.3969/j.issn.1006-1959.2020.05.037
文献标志码:
A
摘要:
目的 探讨经腹腔镜下微创手术对卵巢囊肿患者血清创伤反应指标及卵巢储备功能的影响。方法 选取2017年1月~2019年6月我院收治的卵巢囊肿患者80例为研究对象，按照手术方式不同分为对照组38例、观察组42例，对照组采用传统开腹手术治疗，观察组采用腹腔镜下微创手术治疗，比较两组手术情况、术前及术后1 d血清创伤反应指标[皮质醇（Cor）、胰岛素（Ins）、生长激素（HGH）]、卵巢储备功能指标[血清促黄体素（LH）、促卵泡刺激素（FSH）、雌二醇（E2）]。结果 观察组手术时间、出血量、肛门排气时间、下床活动时间、住院时间均少于对照组（P＜0.05）；术后1 d两组Cor、Ins、HGH均升高，观察组低于对照组（P＜0.05）；术后1 d两组LH、FSH升高，E2降低，观察组LH、FSH低于对照组，E2高于对照组（P＜0.05）。结论 腹腔镜下微创手术治疗卵巢囊肿患者手术时间短，出血量少，术后恢复快，术后血清创伤反应水平低，利于保护卵巢储备功能。
Abstract:
Objective To investigate the effect of laparoscopic minimally invasive surgery on serum trauma response indexes and ovarian reserve function in patients with ovarian cysts. Methods 80 patients with ovarian cysts treated in our hospital from January 2017 to June 2019 were selected as the research subjects. They were divided into 38 control groups and 42 observation groups according to the surgical method. Using laparoscopic minimally invasive surgery, the two groups were compared for general surgical conditions, preoperative and postoperative 1 d serum trauma response indicators [Cortisol(Cor), insulin (Ins), growth hormone (HGH) ], and ovarian reserve function indicators serum [luteinizing hormone(LH), Follicle-stimulating hormone (FSH), estradiol (E2) ].Results Surgical time, bleeding volume, anal exhaust time, time to get out of bed, length of stay in the observation group were shorter than those in the control group (P<0.05);Cor, Ins, and HGH were increased in the two groups after surgery, in which the observation group was lower than the control group (P<0.05); LH and FSH increased and E2 decreased in the two groups after operation. The LH and FSH of the observation group were lower than those of the control group, and E2 was higher than that of the control group(P<0.05).Conclusion Laparoscopic minimally invasive surgery for patients with ovarian cysts has a shorter operation time, less bleeding, faster postoperative recovery, and lower postoperative serum trauma response, which is beneficial to protect ovarian reserve function.

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更新日期/Last Update: 2020-03-01