Analysis of the application value of laparoscopic surgery in ovarian cystectomy

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.