發(fā)布時(shí)間：2018-04-14 20:57

  本文選題：腹腔鏡 + 子宮內(nèi)膜異位癥��； 參考：《中國(guó)內(nèi)鏡雜志》2017年05期

【摘要】：目的探討腹腔鏡下常規(guī)鈍性剔除與改良銳性剝離術(shù)式對(duì)子宮內(nèi)膜異位癥(EMs)患者性激素、竇卵泡數(shù)(AFC)及卵巢體積的影響。方法選取該院2013年1月-2016年4月收治EMs患者共100例,按隨機(jī)數(shù)字表法分為對(duì)照組(50例)和觀察組(50例),分別給予腹腔鏡下常規(guī)鈍性剔除與改良銳性剝離術(shù)式治療;比較兩組患者剝除病灶厚度、卵巢皮質(zhì)剝除率、卵巢皮質(zhì)剝除厚度、手術(shù)前后血清性激素水平、患側(cè)卵巢AFC及卵巢體積。結(jié)果兩組患者卵巢窩部位剝除病灶厚度、卵巢皮質(zhì)剝除率及卵巢皮質(zhì)剝除厚度比較差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05);觀察組患者中間部位剝除病灶厚度和卵巢皮質(zhì)剝除厚度均明顯低于對(duì)照組(P0.05);觀察組患者卵巢門(mén)剝除病灶厚度、卵巢皮質(zhì)剝除厚度和卵巢皮質(zhì)剝除率均明顯低于對(duì)照組(P0.05);兩組患者手術(shù)前后性激素水平比較差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05);觀察組患者手術(shù)前后患側(cè)卵巢AFC水平比較差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05);對(duì)照組患者術(shù)后患側(cè)卵巢AFC水平明顯低于術(shù)前(P0.05);兩組患者術(shù)后卵巢體積均明顯小于術(shù)前(P0.05);觀察組患者術(shù)后卵巢體積明顯大于對(duì)照組(P0.05)。結(jié)論腹腔鏡下改良銳性剝離術(shù)式治療EMs患者可有效減少卵巢門(mén)皮質(zhì)剝除量,降低初級(jí)和次級(jí)卵泡丟失程度,價(jià)值優(yōu)于常規(guī)鈍性剝離術(shù)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.
【作者單位】： 海南省�？谑械谒娜嗣襻t(yī)院婦產(chǎn)科;
【分類(lèi)號(hào)】：R713.4

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