[1]段玉坤,王璟乐.经宫腔镜与腹腔镜治疗子宫壁间肌瘤对患者卵巢功能及妊娠结局的影响[J].医学信息,2022,35(12):159-161.[doi:10.3969/j.issn.1006-1959.2022.12.039]
　DUAN Yu-kun,WANG Jing-le.Effect of Hysteroscopy and Laparoscopy on Ovarian Function and Pregnancy Outcome of Patients with Uterine Intramural Myoma[J].Medical Information,2022,35(12):159-161.[doi:10.3969/j.issn.1006-1959.2022.12.039]
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经宫腔镜与腹腔镜治疗子宫壁间肌瘤对患者卵巢功能及妊娠结局的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年12期
页码:
159-161
栏目:
论著
出版日期:
2022-06-15

文章信息/Info

Title:
Effect of Hysteroscopy and Laparoscopy on Ovarian Function and Pregnancy Outcome of Patients with Uterine Intramural Myoma
文章编号:
1006-1959（2022）12-0159-03
作者:
段玉坤; 王璟乐
（大同市第一人民医院妇科，山西 大同 037000）
Author(s):
DUAN Yu-kun; WANG Jing-le
(Department of Gynecology,the First People’s Hospital of Datong,Datong 037000,Shanxi,China)
关键词:
子宫肌壁间肌瘤; 宫腔镜; 腹腔镜; 妊娠结局; 卵巢功能
Keywords:
Uterine intramural myoma; Hysteroscopy; Laparoscope; Pregnancy outcome; Ovarian function
分类号:
R737.33
DOI:
10.3969/j.issn.1006-1959.2022.12.039
文献标志码:
A
摘要:
目的 探究经宫腔镜与腹腔镜治疗子宫壁间肌瘤的效果，评估不同方案对患者卵巢功能及妊娠结局的影响。方法 选取我院2016年5月-2019年8月收治的73例子宫壁间肌瘤患者为研究对象，按照治疗方案分为宫腔镜组（36例）和腹腔镜组（37例）。宫腔镜组接受宫腔镜手术治疗，腹腔镜组接受腹腔镜手术治疗，比较两组手术情况、术后3个月月经恢复情况、卵巢功能及妊娠结局。结果 两组手术时间、术中出血量比较，差异无统计学意义（P＞0.05）；宫腔镜组术后排气时间和住院时间少于腹腔镜组，术后疼痛评分低于腹腔镜组，差异有统计学意义（P＜0.05）；术后3个月宫腔镜组月经期短于腹腔镜组，月经量评分低于腹腔镜组，差异有统计学意义（P＜0.05）；两组促卵泡生成素、黄体生成素、雌二醇水平比较，差异无统计学意义（P＞0.05）；宫腔镜组术后首次妊娠时间短于腹腔镜组，妊娠率高于腹腔镜组，差异有统计学意义（P＜0.05）。结论 与腹腔镜子宫肌瘤切除术相比，宫腔镜手术对患者的创伤更小，可加快患者术后康复，促进月经及卵巢功能恢复，从而提高术后妊娠效率，值得临床应用。
Abstract:
Objective To explore the effect of hysteroscopy and laparoscopy in the treatment of uterine intramural myoma, and to evaluate the effect of different schemes on ovarian function and pregnancy outcome of patients.Methods A total of 73 patients with uterine intramural myoma in our hospital from May 2016 to August 2019 were selected as the research objects, and they were divided into hysteroscopy group (36 cases) and laparoscopy group (37 cases) according to different treatment schemes. The hysteroscopic group was treated with hysteroscopic surgery, and the laparoscopic group was treated with laparoscopic surgery. The operation, menstrual recovery after 3 months, ovarian function and pregnancy outcome were compared between the two groups.Results There was no significant difference in operation time and intraoperative blood loss between the two groups (P>0.05). The postoperative exhaust time and hospitalization time of hysteroscopic group were less than those of laparoscopic group, and the postoperative pain score was lower than that of laparoscopic group, the difference was statistically significant (P<0.05). At 3 months after operation, the menstrual period of hysteroscopic group was shorter than that of laparoscopic group, and the menstrual volume score was lower than that of laparoscopic group, the difference was statistically significant (P<0.05). There was no significant difference in the levels of follicle-stimulating hormone, luteinizing hormone and estradiol between the two groups (P>0.05). The first pregnancy time in the hysteroscopy group was shorter than that in the laparoscopic group, and the pregnancy rate was higher than that in the laparoscopic group, the difference was statistically significant (P<0.05).Conclusion Compared with laparoscopic myomectomy, hysteroscopic surgery has less trauma to patients, can accelerate postoperative recovery, promote menstruation and ovarian function recovery, so as to improve the efficiency of postoperative pregnancy, which is worthy of clinical application.

参考文献/References:

[1]崔靖娴.宫腔镜和腹腔镜手术剔除子宫壁间肌瘤的临床比较[J].社区医学杂志,2016,14(10):55-56.[2]刘娟弟,邓晓红,何菊仙,等.腹腔镜与宫腔镜子宫肌瘤电切术对子宫壁间肌瘤患者卵巢功能、妊娠情况的影响[J].广西医科大学学报,2017,34(11):1597-1600.[3]李晶,张春莲,方彩云.腹腔镜与宫腔镜手术剔除子宫壁间肌瘤的价值对比[J].中国性科学,2018,27(4):100-102.[4]赵骏达,赵静,李燕,等.宫腔镜与腹腔镜手术剔除子宫壁间肌瘤的疗效对比[J].中国性科学,2016,25(8):59-61.[5]易俊秀,段海珊,郭燕丽.经阴道彩色多普勒超声诊断子宫肌瘤、腺肌症及腺肌瘤的临床价值[J].局解手术学杂志,2020,29(1):82-84.[6]吴帆,周艳鹏,姬静.腹腔镜下子宫肌瘤剔除术对子宫肌瘤患者术后卵巢功能及自然妊娠结局的影响[J].中国实用医刊,2021,48(5):62-65.[7]张秀琼.宫腔镜电切术与子宫动脉栓塞术治疗子宫粘膜下肌瘤的疗效及对卵巢功能的影响研究[J].医学信息,2016,29(11):55-56.[8]刘新华,赵丹阳,李建华.腹腔镜与宫腔镜子宫壁间肌瘤切除术的疗效对比分析[J].腹腔镜外科杂志,2018,23(2):140-143.[9]赵俊红.超声引导宫腔镜电切术治疗内突型肌壁间子宫肌瘤疗效观察[J].河南外科学杂志,2020,26(6):160-162.[10]申平,覃庆锋.宫腹腔镜联合诊治宫内妊娠合并子宫肌壁间妊娠1例[J].中国实用妇科与产科杂志,2019,35(2):251-253.[11]陈海燕,刘雁林,王沛靓,等.宫腔镜手术对子宫黏膜下肌瘤患者卵巢功能,免疫功能及炎症因子水平的影响[J].现代生物医学进展,2019,19(16):3196-3200.[12]于倩.FIGO 3型子宫肌瘤对IVF/ICSI结局的影响[D].济南:山东大学,2018.[13]范刚,龚懂文,张梅.超声联合宫腔镜治疗黏膜下子宫肌瘤的疗效及影响术后妊娠的因素分析[J].中国煤炭工业医学杂志,2020,23(5):500-505.[14]史新丽.育龄期子宫黏膜下肌瘤与肌壁间肌瘤患者肌瘤切除术后妊娠情况比较[J].河南医学研究,2020,29(31):5842-5843.[15]蔡琳,胡丽平.超声引导下腹腔镜子宫肌瘤剔除术的价值研究[J].中国卫生标准管理,2020,11(19):87-89.

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更新日期/Last Update: 1900-01-01