摘要
目的探讨腹腔镜剥除术超声刀止血与双极电凝止血对卵巢囊肿患者血清抗米勒管激素(AMH)、性激素、窦卵泡数及卵巢体积的影响。方法选取2020年1月至2022年1月期间上海市松江区妇幼保健院收治的80例进行腹腔镜剥除术治疗的卵巢囊肿患者作为研究对象,根据手术止血方式的不同将患者分为A组(n=42,超声刀止血)和B组(n=38,双极电凝止血)。记录并比较两组手术相关参数,比较两组手术前后血清AMH、卵泡刺激素(FSH)、雌二醇(E2)、黄体生成素(LH)水平及窦卵泡数、卵巢体积和子宫内膜厚度。结果两组手术时间、术中出血量及下床活动时间和住院时间均未见显著差异(P>0.05)。手术前两组AMH、FSH、E2、LH无显著差异(P>0.05);手术后FSH、LH水平较手术前显著升高,且A组低于B组(P<0.01);AMH、E2水平较手术前下降,A组显著高于B组(P<0.05)。手术前两组窦卵泡数、卵巢体积、子宫内膜厚度无显著差异(P>0.05);手术后窦卵泡数、卵巢体积较手术前均有减少,术后两组子宫内膜厚度均变薄,A组的窦卵泡数显著多于B组(P<0.05),子宫内膜厚度显著大于B组(P<0.05),两组卵巢体积差异不显著(P>0.05)。结论腹腔镜卵巢囊肿剥除术采用超声刀和双极电凝两种止血方式操作简单,能够节省手术时间,术后恢复快,与双极电凝止血相比,术中使用超声刀止血对卵巢组织的损伤较小,对卵巢储备功能的影响较小。
Objective To explore the effects of laparoscopic stripping with ultrasonic scalpel hemostasis and bipolar coagulation hemostasis on serum anti-Müllerian hormone(AMH),sex hormones,antral follicle count and ovarian volume in patients with ovarian cysts.Methods A total of 80 patients with ovarian cysts who underwent laparoscopic stripping in Shanghai Songjiang Maternal and Child Health Care Hospital from January 2020 to January 2022 were selected as the study subjects,and the patients were divided into group A(n=42,ultrasonic scalpel hemostasis)and group B(n=38,bipolar coagulation hemostasis)according to different surgical hemostasis methods.The surgery-related parameters in the two groups were recorded and compared,and the levels of serum AMH,follicular stimulating hormone(FSH),estradiol(E_2)and luteinizing hormone(LH)and antral follicle count,ovarian volume and endometrial thickness were compared between both groups before and after surgery.Results There were no significant differences in surgical time,intraoperative blood loss,ambulation time and hospital stay between the two groups(P0.05).There were no significant differences in the levels of AMH,FSH,E_2 and LH between the two groups before surgery(P0.05),and the levels of FSH and LH after surgery were significantly enhanced compared to those before surgery,and the levels in group A were lower than those in group B(P0.01),and the AMH and E_2 levels were declined compared with those before surgery,and the levels in group A were significantly higher than those in group B(P0.05).The differences in the antral follicle count,ovarian volume and endometrial thickness were not significant between the two groups before surgery(P0.05).The antral follicle count and ovarian volume after surgery were declined or shrunken than those before surgery,and the endometrial thickness was thinned after surgery,and the antral follicle count in group A was significantly more than that in group B(P0.05),and the endometrial thickness was significantly thicker than that in group B(P0.05)
作者
徐莹莹
卫群
李欢
XU Yingying;WEI Qun;LI Huan(Department of Obstetrics and Gynecology,Shanghai Songjiang Maternal and Child Health Care Hospital,Shanghai201600,China;Department of Medical Genetics and Prenatal Screening,Shanghai Songjiang Maternal and Child Health Care Hospital,Shanghai201600,China)
出处
《中国性科学》
2023年第9期95-99,共5页
Chinese Journal of Human Sexuality
基金
上海市松江区科学技术攻关项目(19SJKJGG132)。
关键词
腹腔镜剥除术
卵巢囊肿
抗米勒管激素
窦卵泡数
卵巢体积
Laparoscopic stripping
Ovarian cysts
Anti-Müllerian hormone
Antral follicle count
Ovarian volume
