不同腹腔镜剥离术式对子宫内膜异位症患者性激素、窦卵泡数及卵巢体积的影响

发布时间：2018-04-14 20:57

本文选题：腹腔镜 + 子宫内膜异位症　；参考：《中国内镜杂志》2017年05期

【摘要】：目的探讨腹腔镜下常规钝性剔除与改良锐性剥离术式对子宫内膜异位症(EMs)患者性激素、窦卵泡数(AFC)及卵巢体积的影响。方法选取该院2013年1月-2016年4月收治EMs患者共100例,按随机数字表法分为对照组(50例)和观察组(50例),分别给予腹腔镜下常规钝性剔除与改良锐性剥离术式治疗;比较两组患者剥除病灶厚度、卵巢皮质剥除率、卵巢皮质剥除厚度、手术前后血清性激素水平、患侧卵巢AFC及卵巢体积。结果两组患者卵巢窝部位剥除病灶厚度、卵巢皮质剥除率及卵巢皮质剥除厚度比较差异无统计学意义(P0.05);观察组患者中间部位剥除病灶厚度和卵巢皮质剥除厚度均明显低于对照组(P0.05);观察组患者卵巢门剥除病灶厚度、卵巢皮质剥除厚度和卵巢皮质剥除率均明显低于对照组(P0.05);两组患者手术前后性激素水平比较差异无统计学意义(P0.05);观察组患者手术前后患侧卵巢AFC水平比较差异无统计学意义(P0.05);对照组患者术后患侧卵巢AFC水平明显低于术前(P0.05);两组患者术后卵巢体积均明显小于术前(P0.05);观察组患者术后卵巢体积明显大于对照组(P0.05)。结论腹腔镜下改良锐性剥离术式治疗EMs患者可有效减少卵巢门皮质剥除量,降低初级和次级卵泡丢失程度,价值优于常规钝性剥离术式。
[Abstract]:Objective to investigate the effects of conventional blunt excision and modified acute excision under laparoscope on sex hormones, antral follicle count (AFC) and ovarian volume in patients with endometriosis.Methods from January 2013 to April 2016, 100 patients with EMs were randomly divided into control group (n = 50) and observation group (n = 50).The thickness of lesion, the rate of ovarian cortical exfoliation, the thickness of ovarian cortical exfoliation, serum sex hormone level, ovarian AFC and ovarian volume were compared between the two groups.Results the thickness of the lesion was removed from the ovarian fossa in the two groups.There was no significant difference in the rate of ovarian cortical exfoliation and the thickness of ovarian cortical exfoliation (P 0.05), the thickness of the lesions in the middle part of the patients in the observation group was significantly lower than that in the control group (P 0.05), and the thickness of the lesions in the control group was significantly lower than that in the control group.The thickness of ovarian cortical exfoliation and the rate of ovarian cortical exfoliation were significantly lower than those of the control group (P 0.05), there was no significant difference in sex hormone levels between the two groups before and after operation (P 0.05), and there was no significant difference in ovarian AFC levels between the two groups before and after operation.The AFC level of the affected ovary in the control group was significantly lower than that in the preoperation group (P 0.05), the postoperative ovarian volume in both groups was significantly lower than that in the preoperation group (P 0.05), and the postoperative ovarian volume in the observation group was significantly larger than that in the control group (P 0.05).Conclusion Laparoscopic modified acute dissection can effectively reduce the volume of ovarian hilar cortical excision and decrease the loss of primary and secondary follicles in patients with EMs, and the value is superior to that of conventional blunt excision.
【作者单位】：海南省海口市第四人民医院妇产科;
【分类号】：R713.4

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