Abstract: ObjectiveTo investigate the influence of the ovarian function reservation with laparoscopic ovarian cyst excision by different separating methods in endometriotic cyst patients.Methods96 cases with endometriotic cysts who were planned to undergo laparoscopic surgery and had a desire for fertility were divided randomly into the observation group (n=48) and the control group(n=48）from January 2015 to December 2015. The endometriotic cysts were dissected directly in the control group, and the cyst wall was separated by water injection in the observation group. Operative time, intraoperative blood loss, thickness of the resected lesion, thickness of resected ovarian cortex of the two groups were compared. The changes of endocrine hormone levels before and after treatments were compared. The postoperative recurrence rate and pregnancy rate were recorded during the 24month followup.ResultsOperation time of the observation group was shorter than that in the control group (P<0.05).The intraoperative blood loss was less than the control group (P<0.05), and the thickness of the resected lesion and the thickness of the resected ovarian cortex were less than the control group (P<0.05). The levels of follicle estrogen (FSH), basic luteinizing hormone (LH) and estradiol (E2) of the observation group were lower than the control group 3 months and 6 months after operation (P<0.05), and the number of antral follicles (Fo) was higher than that of the control group (P<0.05). The recurrence rate of the observation group was lower than the control group after 24 months (P<0.05), while the rate of natural pregnancy was higher than the control group (P<0.05).ConclusionThe waterinjection separation cystectomy in laparoscopic surgery can effectively reduce the ovarian damage in ovarian cancer cysts, preserve the ovarian function, improve the natural pregnancy rate, and is beneficial to the prognosis of the patients.
王金花，李利. 不同腹腔镜术式对卵巢巧克力囊肿剥除术患者卵巢储备功能的影响[J]. 中国现代手术学杂志, 2018, 22(3): 201-204.
WANG Jinhua, LI Li. Influence of Ovarian Function Reservation with Laparoscopic Ovarian Cyst Excision by Different Separating Methods in Endometriotic Cyst Patients. Chinese Journal of Modern Operative Surgery, 2018, 22(3): 201-204.
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