腹腔镜手术在卵巢囊肿剥除术中的应用价值分析

时荣; 郑贤芳; 葛小花

doi:10.13898/j.cnki.issn.1000-2200.2021.11.018

腹腔镜手术在卵巢囊肿剥除术中的应用价值分析

Analysis of the application value of laparoscopic surgery in ovarian cystectomy

摘要

摘要:
目的分析腔镜卵巢囊肿手术对术后卵巢储备功能和应激反应水平的影响，旨在为病人选择合理术式提供理论依据。
方法选择80例卵巢囊肿病人，随机分为观察组与对照组，各40例。观察组采取腹腔镜手术，对照组选择开腹手术。比较2组术前、术后超声检查指标、血清激素水平及应激反应指标变化情况。
结果术后2组病人卵巢基质动脉收缩期峰值血流速度（PSV）、舒张期最低流速（EDV）水平高于术前（P < 0.05），搏动指数（PI）、阻力指数（RI）水平低于术前（P < 0.05）；且观察组PSV、EDV、窦卵泡计数水平明显高于对照组（P < 0.01），PI和RI水平明显低于对照组（P < 0.01）。术后3个月2组病人血清雌激素水平均低于术前（P < 0.05），且观察组高于对照组（P < 0.05）；观察组血清卵泡刺激素、黄体生成素水平均明显低于对照组（P < 0.01）。术后5 d 2组病人血清去甲肾上腺素、超敏C反应蛋白、皮质醇水平均高于术前（P < 0.05），且观察组明显低于对照组（P < 0.01）。
结论腹腔镜卵巢囊肿剥除术对病人术后卵巢功能的影响较小，能显著改善性激素水平，加快卵巢储备功能的恢复，且对机体应激反应影响更小，利于病人早日康复。

Abstract:
ObjectiveTo analyze the effect of laparoscopic ovarian cystectomy on ovarian reserve function and stress response level, so as to provide theoretical basis for patients to choose reasonable operation mode.
MethodsA total of 80 cases of ovarian cyst patients were selected and randomly divided into observation group and control group(40 cases in each group).The observation group was treated with laparoscopic surgery, and the control group was treated with open surgery.The changes of B-ultrasound examination indicators, serum hormone levels and stress response indicators before and after operation were compared between the two groups.
ResultsThe peak systolic velocity(PSV) and end diastolic velocity(EDV) of the ovarian stromal artery after operation in the two groups were higher than that before operation(P < 0.05), the pulsatility index(PI) and resistance index(RI) were lower than that before operation(P < 0.05).The levels of PSV, EDV and antral follicle count in observation group were significantly higher than those in control group(P < 0.01), and the levels of PI and RI were significantly lower than those in control group(P < 0.01).The serum estradiol level at three months after operation in the two groups was lower than that before operation(P < 0.05), which in observation group was higher than that in control group(P < 0.05);the serum levels of follicle-stimulating hormone and luteinizing hormone in observation group were significantly lower than those in control group(P < 0.01).The serum levels of norepinephrine, hypersensitive C-reactive protein and cortisol at five days after operation in the two groups were higher than those before operation(P < 0.05), which in observation group was significantly lower than that in control group(P < 0.01).
ConclusionsLaparoscopic ovarian cystectomy has less effect on ovarian function, can significantly improve the level of sex hormone, accelerate the recovery of ovarian reserve function, and has less effect on stress response, which is helpful for the early recovery of patients.

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