摘要
[目的]探讨腹腔镜下卵巢内异症囊肿剔除术对卵巢功能和妊娠的影响。[方法]对40例卵巢内异症囊肿采用腹腔镜下卵巢内异症囊肿剔除术后40例,观察手术前后血清促卵泡生成素(FSH)、促黄体生成素(LH)、雌二醇(E2)水平变化,术后排卵、妊娠、妊娠率、痛经情况及术后用米非司酮对妊娠的影响。[结果]术后FSH、LH、E2水平较术前明显降低,40例患者中2例发生卵巢早衰,32例恢复月经,25例痛经及性交痛基本消失,9例偶有痛经或不规则腹痛,术后恢复排卵率77.5(,妊娠率22.5(,早期流产率22.2(。[结论]腹腔镜下卵巢内异症囊肿剔除术是治疗卵巢内异囊肿性不孕的一种有效方法,提高了妊娠率及排卵率,但对排卵率、痛经缓解率、复发率与未用药组无明显差异性。
[Objective] To explore the effect of cyst elimination of endometriosis under abdomen microscope on ovary function and pregnancy. [Method] Administer the said therapy to 40 cases,observe serum FSH, LH and E2 changes before and after operation, as well as post operation ovulation, pregnancy rate, dysmenorrhea,and the Mifespristone＇ s influence on pregnancy. [Result] After operation,FSH, LH and E2 reduced markedly; 2 had early senility of ovary, 32 recovered menstruation, 25 basically disappeared dysmenorrhea and sexual pain, 9 had dysmenorrhea or irregular abdomen pain; ovulation recovery rate was 77.5 %, pregnancy rate 22.5%, early abortion rate 22.2 % [Conclusion] The said method is an effective way to cyst swelling sterility of ovary endometriosis,it raises pregnancy rate and ovulation rage,but has no marked difference with other group on dysmenorrhea-relieving rate and recurrent rate.
出处
《浙江中医药大学学报》
CAS
2008年第3期325-326,共2页
Journal of Zhejiang Chinese Medical University
关键词
卵巢内异囊肿
腹腔镜
剔除术
卵巢早衰
妊娠
ovary endometriosis cyst
abdomen microscope
elimination
early senility of ovary
pregnancy
