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

被引：27

作者：

黄静 ^{[1
]}

罗亚辉 ^{[2
]}

王楠 ^{[3
]}

机构：

[1] 陕西省安康市宁陕县医院妇产科

[2] 陕西省安康市人民医院妇产科

[3] 解放军总医院妇产科

来源：

天津医药 | 2017年 / 45卷 / 10期

关键词：

卵巢囊肿; 腹腔镜检查; 阴式手术; 卵巢囊肿剥除术; 卵巢储备功能;

D O I：

暂无

中图分类号：

R713.6 [卵巢手术];

学科分类号：

100211 [妇产科学];

摘要：

目的比较阴式卵巢囊肿剥除术和腹腔镜卵巢囊肿剥除术的临床疗效。方法 2013年6月—2016年6月在本院妇产科收治的卵巢囊肿病例中,根据微创手术方式(阴式手术和腹腔镜手术)分为观察组55例,对照组49例。2组患者平均年龄、体质量指数(BMI)、腹部手术史、囊肿直径、囊肿类型以及单双侧构成差异均无统计学意义;观察2组手术时间、术中出血量、住院费用和平均住院日以及手术前后卵巢储备功能情况。结果观察组手术时间[(46.9±18.4)min vs.(62.3±26.5)min]、住院费用[(8 165.3±951.8)元vs.(12 543.9±1 464.4)元]和平均住院日[(4.5±1.9)d vs.(6.8±2.3)d]少于对照组,差异均有统计学意义(P<0.05);2组手术前雌二醇(E2)、卵泡刺激素/黄体生成素(FSH/LH)、卵泡刺激素(FSH)和窦卵泡数差异无统计学意义;手术后观察组FSH/LH(1.4±0.4 vs.1.8±0.6)、FSH[(9.2±2.9)U/L vs.(13.6±4.3)U/L]低于对照组(P<0.05);观察组窦卵泡数多于对照组[(7.2±1.6)个vs.(6.0±1.3)个,P<0.05]。结论阴式卵巢囊肿剥除术对卵巢储备功能损伤小,适合育龄期女性患者,符合"价值医学"的要求。

引用

页码：1057 / 1060

页数：4

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