卵巢子宫内膜异位囊肿含卵泡组织患者腹腔镜手术治疗分析

Abstract
Figure/Table
References (28)
Related Citation (15)

Download: PDF (482 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To analyze the effect of laparoscopic operation in the treatment of ovarian endometriosis cyst with follicular tissue. Methods Eighty patients with ovarian endometriosis cyst with follicular tissue treated in Bozhou Hospital of Traditional Chinese Medicine, Anhui Province from June 2017 to October 2020 were selected as research subjects. According to different treatment methods, they were divided into control group and study group, with 40 cases in each group. The control group was treated with laparotomy and the study group with laparoscopy. Before and after operation, serum follicle stimulating hormone (FSH), antral follicle count (AFC), estradiol (E2), anti-mullerin hormone (AMH), intraoperative blood loss, operation time, exhaust time, length of hospital stay, total incidence of complications, and recurrence rate half a year after operation of two groups were recorded and compared. Results After operation, the level of FSH in both groups were higher than those before operation, while the level of AFC was lower than that before operation, and the differences were statistically significant. After operation, the level of FSH in study group was lower than that in control group, and the difference was statistically significant (P < 0.05). There was no significant difference in AFC level between two groups (P > 0.05). After operation, the levels of E2 and AMH in two groups were lower than those before operation, and study group was lower than control group, and the differences were statistically significant (P < 0.05). The the amount of intraoperative blood loss was lower than that of control group, and operation time, exhaust time, and length of hospital stay of study group were shorter than those of control group, and the differences were statistically significant (P < 0.05). The total incidence of complications in study group was lower than that in control group, and the difference was statistically significant (P < 0.05). There was no significant difference in recurrence rate between two groups (P > 0.05). Conclusion Laparoscopic operation for patients with ovarian endometriosis cyst with follicular tissue has little impact on the follicular tissue, and will not cause follicular loss, and can effectively reduce the total incidence of operation complications and recurrence rate, which has clinical application value and is worth promoting.

Key words： Ovarian endometriosis cyst Follicular tissue Laparoscope Complication；Recurrence rate

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	OUYANG Mingxiu

Cite this article:

OUYANG Mingxiu. Analysis of laparoscopic surgery for ovarian endometriosis cyst with follicular tissue#br#[J]. 中国医药导报, 2021, 18(30): 110-113.

URL:

https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I30/110

[1] 潘卓，胡嫦娥，苏晶晶.腹腔镜下垂体后叶素水囊剥除单侧卵巢子宫内膜异位囊肿对卵巢功能的影响[J].中国医药导报，2018，15（17）：72-75.
[2] 徐建波，尹香花，苏悦，等.卵巢子宫内膜异位囊肿恶变危险因素回顾性分析[J].中华肿瘤防治杂志，2017，24（17）：1237-1239.
[3] Udomsinkul P，Triratanachart S，Oranratanaphan S. Risk factors for endometriotic-cyst associated ovarian cancer：A case controlled study [J]. Taiwan J Obstet Gynecol，2020， 59（2）：269-274.
[4] 闵爱萍，吴羽.腹腔镜卵巢子宫内膜异位囊肿剥除术联合亮丙瑞林对卵巢子宫内膜异位囊肿患者卵巢储备功能的影响[J].中国医药导报，2018，15（18）：68-71.
[5] Sweed MS，Makled AK，El-Sayed MA，et al. Ovarian Reserve Following Laparoscopic Ovarian Cystectomy vs CystDeroofing for Endometriomas [J]. J Minim Invasive Gynecol，2019，26（5）：877-882.
[6] 刘秋颖，王亚萍，赵秋妍，等.腹腔镜卵巢子宫内膜异位囊肿剔除术及不同手术方式对卵泡丢失的影响[J].现代妇产科进展，2016，25（6）：415-419.
[7] 郭欢欢，申爱荣，徐胜男，等.腹腔镜卵巢子宫内膜异位囊肿保守性手术后复发的相关因素分析[J].中南大学学报：医学版，2016，41（4）：405-410.
[8] 佟海燕，孙丽娟，刘云霞.腹腔镜与开腹手术治疗卵巢子宫内膜异位囊肿患者的效果及对应激水平、卵巢功能的影响分析[J].中国妇产科临床杂志，2016，17（5）：448-449.
[9] 章婷婷，方小玲.子宫内膜异位症生育力保护策略[J].中国实用妇科与产科杂志，2021，37（3）：281-285.
[10] 肖丽，黄薇.抗苗勒管激素在评价卵巢子宫内膜异位囊肿术后卵巢储备功能中的应用[J].实用妇产科杂志，2017，33（4）：264-267.
[11] Murakami K，Kotani Y，Shiro R，et al. Endometriosis-associated ovarian cancer occurs early during follow-up of endometrial cysts [J]. Int J Clin Oncol，2020，25（1）：51-58.
[12] 陆丽娟，强金伟.卵巢子宫内膜异位囊肿的影像进展[J].放射学实践，2020，35（2）：242-245.
[13] 冷金花，史精华.子宫内膜异位症复发的高危因素及其防治策略[J].中华妇产科杂志，2018，53（9）：640-643.
[14] 姚书忠，梁炎春.重视子宫内膜异位症手术治疗的恰当性和彻底性[J].中国实用妇科与产科杂志，2020，36（1）：45-49.
[15] 张潇潇，吕群.不同方式治疗卵巢子宫内膜异位囊肿对IVF-ET结局的影响[J].实用妇产科杂志，2016，32（4）：272-274.
[16] Nowak-Psiorz I，Cie■wie■ SM，Brodowska A，et al. Treatment of ovarian endometrial cysts in the context of recurrence and fertility [J]. Adv Clin Exp Med，2019，28（3）：407-413.
[17] 崔建营，王桂云，卢士平，等.卵巢子宫内膜异位囊肿体积对不孕患者术后自然妊娠的影响[J].山东医药，2015， 55（14）：69-70.
[18] 焦薇.腹腔镜在妇科急腹症诊治中的应用[J].江苏医药，2012，38（6）：688-689.
[19] 王玲.腹腔镜手术治疗卵巢子宫内膜异位囊肿的疗效及并发症观察[J].包头医学，2017，41（2）：88-90.
[20] 梁炎春，姚书忠.腹腔镜肠道子宫内膜异位症手术并发症防治[J].中国实用妇科与产科杂志，2015，31（5）：388-392.
[21] 李芳，程明军，叶玉梅，等.两种止血方法对卵巢子宫内膜异位囊肿术后卵巢储备功能的影响[J].中国妇产科临床杂志，2018，19（3）：235-237.
[22] 杨春霞，冒韵东.腹腔镜手术治疗子宫内膜异位症相关不孕症的研究进展[J].中华生殖与避孕杂志，2018，38（8）：667-670.
[23] 自蓉.腹腔镜下子宫肌瘤剔除术对患者卵巢功能及血清创伤反应指标的影响[J].山东医药，2017，57（6）：87-89.
[24] 胡琳莉，孙莹璞.卵巢储备功能与卵巢反应性评估[J].中国实用妇科与产科杂志，2015，31（1）：18-21.
[25] 李淑红，孙恒子，庄慧宇，等.盆腔子宫内膜异位症合并不孕行宫腹腔镜手术联合GnRH-a治疗后自然妊娠情况分析[J].中国实用妇科与产科杂志，2020，36（12）：1188-1191.
[26] 刘振荣.腹腔镜下子宫肌瘤剔除术对患者疼痛、卵巢功能的影响[J].山东医药，2017，57（42）：80-82.
[27] 汪逸纯，张真真，万贵平.子宫内膜异位症致疼痛的发生机制及治疗方法研究进展[J].中国医药科学，2021， 11（4）：39-42.
[28] 马丽，沈秀清，马明宁.腹腔镜手术联合GnRHa对卵巢巧克力囊肿伴不孕患者血清激素水平及妊娠情况的影响[J].中国现代医生，2020，58（12）：75-78.