[1]李 响,莫秀丽,杨红霞.腹腔镜卵巢囊肿剔除术治疗卵巢囊肿的临床效果及其对卵巢功能的影响[J].医学信息,2023,36(10):109-112.[doi:10.3969/j.issn.1006-1959.2023.10.024]
　LI Xiang,MO Xiu-li,YANG Hong-xia.Clinical Effect of Laparoscopic Ovarian Cystectomy in the Treatment of Ovarian Cysts and its Effect on Ovarian Function[J].Journal of Medical Information,2023,36(10):109-112.[doi:10.3969/j.issn.1006-1959.2023.10.024]
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腹腔镜卵巢囊肿剔除术治疗卵巢囊肿的临床效果及其对卵巢功能的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年10期
页码:
109-112
栏目:
论著
出版日期:
2023-05-15

文章信息/Info

Title:
Clinical Effect of Laparoscopic Ovarian Cystectomy in the Treatment of Ovarian Cysts and its Effect on Ovarian Function
文章编号:
1006-1959（2023）10-0109-04
作者:
李 响; 莫秀丽; 杨红霞
（天津市武清区人民医院妇科，天津 301700）
Author(s):
LI Xiang; MO Xiu-li; YANG Hong-xia
(Gynecology Department of Wuqing District People’s Hospital,Tianjin 301700,China)
关键词:
卵巢囊肿; 腹腔镜卵巢囊肿剔除术; 卵巢功能
Keywords:
Ovarian cyst; Laparoscopic ovarian cystectomy; Ovarian function
分类号:
R711.75
DOI:
10.3969/j.issn.1006-1959.2023.10.024
文献标志码:
A
摘要:
目的 探究腹腔镜卵巢囊肿剔除术（LOC）治疗卵巢囊肿的临床效果及其对卵巢功能的影响。方法 选取2020年6月-2022年1月天津市武清区人民医院收治的87例卵巢囊肿患者作为研究对象，采用随机数字表法分为对照组（n=43）和观察组（n=44）。对照组行开腹卵巢囊肿剔除术治疗，观察组行LOC治疗，比较两组临床疗效、围术期指标（术中出血量、手术时间、胃肠道功能恢复时间、术后住院时间）、卵巢功能[雌二醇（E2）、促卵泡激素（FSH）、黄体生成素（LH）]、卵巢储备功能（卵巢体积、卵泡数量）、并发症发生率。结果 两组治疗总有效率比较，差异无统计学意义（P＞0.05）；观察组术中出血量少于对照组，且手术时间、胃肠道功能恢复时间、术后住院时间均短于对照组（P＜0.05）；两组术后FSH、LH水平高于术前，E2水平低于术前，但观察组FSH、LH低于对照组，E2高于对照组（P＜0.05）；两组术后卵泡数量、卵巢体积低于术前，但观察组高于对照组（P＜0.05）；观察组并发症发生率为4.55%，低于对照组的16.28%（P＜0.05）。结论 LOC治疗卵巢囊肿疗效确切，其出血少、恢复快，可减少手术对卵巢功能的影响，缓解卵巢储备功能损害，且并发症风险低。
Abstract:
Objective To explore the clinical effect of laparoscopic ovarian cystectomy (LOC) in the treatment of ovarian cysts and its effect on ovarian function.Methods A total of 87 patients with ovarian cysts admitted to Tianjin Wuqing District People ’s Hospital from June 2020 to January 2022 were selected as the research objects, and they were divided into control group (n=43) and observation group (n=44) by random number table method. The control group was treated with open ovarian cystectomy, and the observation group was treated with LOC. The clinical efficacy, perioperative indicators (intraoperative blood loss, operation time, gastrointestinal function recovery time, postoperative hospital stay), ovarian function [estradiol (E2), follicle stimulating hormone (FSH), luteinizing hormone (LH)], ovarian reserve function (ovarian volume, number of follicles), and complication rate were compared between the two groups.Results There was no significant difference in the total effective rate between the two groups (P>0.05). The intraoperative blood loss in the observation group was less than that in the control group, and the operation time, gastrointestinal function recovery time and postoperative hospitalization time were shorter than those in the control group (P<0.05). The levels of FSH and LH in the two groups were higher than those before operation, and the level of E2 was lower than that before operation, but the levels of FSH and LH in the observation group were lower than those in the control group, and the level of E2 was higher than that in the control group (P<0.05). The number of follicles and ovarian volume in the two groups were lower than those before operation, but the observation group was higher than the control group (P<0.05). The incidence of complications in the observation group was 4.55%, which was lower than 16.28% in the control group (P<0.05).Conclusion LOC is effective in the treatment of ovarian cysts, with less bleeding and faster recovery. Meanwhile, it can reduce the impact of surgery on ovarian function, alleviate the damage of ovarian reserve function, and has a low risk of complications.

参考文献/References:

[1]谢敏,董晓红,王金莲.子宫内膜异位囊肿去顶术与腹腔镜卵巢囊肿切除术对卵巢储备的影响研究[J].实用医院临床杂志,2022,19(2):69-72.[2]许俊晖,李永红.经脐单孔腹腔镜与传统腹腔镜手术治疗卵巢囊肿的疗效对比分析[J].实用妇产科杂志,2021,37(11):854-857.[3]王莹东,徐玲玲,滕悦,等.经自然腔道腹腔镜与经脐单孔腹腔镜治疗肥胖患者卵巢囊肿的效果对比[J].中国临床保健杂志,2021,24(2):272-274.[4]李境,陈莉,侯涛.经阴道单孔腹腔镜卵巢囊肿剔除术治疗良性卵巢肿瘤的临床研究[J].中国病案,2021,22(2):105-108.[5]肖惠超,陈继明.腹腔镜卵巢囊肿剥除术治疗卵巢囊肿的临床效果[J].实用临床医药杂志,2020,24(11):118-120.[6]Eisenberg N,Volodarsky-Perel A,Brochu I,et al.Short- and Long-Term Complications of Intraoperative Benign Ovarian Cyst Spillage: A Systematic Review and Meta-analysis[J].J Minim Invasive Gynecol,2021,28(5):957-970. [7]奚晓雪,杨晨,戴建荣.腹腔镜下卵巢良性囊肿剥除术对患者血清抗苗勒管激素水平的影响[J]. 中国血液流变学杂志,2015,25(4):472-475.[8]廖小花,李暖珍.经脐单孔腹腔镜卵巢囊肿剥除术的临床应用[J].腹腔镜外科杂志,2020,25(5):389-392.[9]於军,李琼,李海洋,等.腹腔镜下卵巢囊肿剔除术治疗卵巢囊肿的效果及其对卵巢功能的影响[J].中国妇幼保健,2020,35(7):1296-1298.[10]施佳艳,陈鹃,陈琪珍.腹腔镜卵巢囊肿剔除术对卵巢囊肿患者卵巢功能、血清抗苗勒管激素、抑制素B的影响及其意义[J].临床与病理杂志,2019,39(11):2401-2406.[11]刘继林,李艳.腹腔镜下卵巢囊肿剔除术后对卵巢功能的影响[J].贵州医药,2019,43(7):1047-1050.[12]杨屹,康瑛,罗金维.腹腔镜下卵巢囊肿剥除术对不同性质卵巢囊肿患者卵巢储备功能的影响[J].中国性科学,2019,28(4):68-72.[13]薛聪玲,何社红.开腹卵巢囊肿剥除术与气腹式腹腔镜卵巢囊肿剥除术对良性卵巢囊肿患者卵巢功能的影响比较[J].新乡医学院学报,2019,36(4):350-352,356.[14]张军,魏延栋,刘树立,等.腹腔镜与开腹手术在卵巢囊肿剔除术中的对比研究[J]. 中华小儿外科杂志,2019,40(2):133-136.[15]李洁.不同微创术式治疗卵巢囊肿的临床疗效及其对卵巢功能影响[J].山西医药杂志,2018,47(21):2530-2532.[16]张天骄,吴大保,张爱君,等.腹腔镜和经腹手术治疗妊娠合并卵巢囊肿患者的临床比较[J].中华全科医学,2018,16(9):1483-1486.[17]董洪果,程文俊,张茜,等.悬吊式腹腔镜及气腹腹腔镜手术对卵巢囊肿剥除术患者卵巢功能、炎症反应及应激激素的影响[J].海南医学院学报,2018,24(6):711-714.[18]Wacharachawana S,Phaliwong P,Prommas S,et al.Recurrence Rate and Risk Factors for the Recurrence of Ovarian Endometriosis after Laparoscopic Ovarian Cystectomy[J].Biomed Res Int,2021,2021:6679641.[19]黄静,罗亚辉,王楠.阴式卵巢囊肿剥除术对卵巢储备功能影响及临床疗效的对比分析[J].天津医药,2017,45(10):1057-1060.[20]王中显,白静,向媛媛,等.腹腔镜手术治疗老年卵巢囊肿临床疗效观察[J].中国实用妇科与产科杂志,2017,33(9):967-969.[21]周智.腹腔镜卵巢囊肿剔除术治疗卵巢囊肿的效果及其对卵巢功能影响的研究[J].中国临床医生杂志,2018,46(2):216-218.[22]符婕,陈慧娟,栾莹,等.腹腔镜卵巢囊肿剔除术对女性卵巢储备功能的影响[J].医学临床研究,2017,34(5):875-878.[23]Sireesha MU,Chitra T,Subbaiah M,et al.Effect of Laparoscopic Ovarian Cystectomy on Ovarian Reserve in Benign Ovarian Cysts[J].J Hum Reprod Sci,2021,14(1):56-60.[24]李婉玲,徐晓武,杨金娣,等.腹腔镜下卵巢囊肿剔除术对患者术后炎症因子水平及卵巢功能的影响[J].中国计划生育学杂志,2020,28(7):1029-1032.[25]白海燕.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].实用癌症杂志,2017,32(11):1879-1881.

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更新日期/Last Update: 1900-01-01