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中国现代手术学杂志  2018, Vol. 22 Issue (2): 145-148    DOI: 10.16260/j.cnki.1009-2188.2018.02.016
  临床论著 |
不同月经周期下行腹腔镜卵巢囊肿剥离术的预后分析
蔡海容
玉林市中医医院妇科, 广西玉林 527000
Analysis of the Prognosis of Laparoscopic Ovarian Cyst Dissection Under Different Menstrual Cycles
CAI Hai-rong
Department?of?Gynaecology,?Yulin?Traditional?Chinese?Medicine?Hospital,?Yulin?527000,?Guangxi,?China
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摘要 目的 分析不同的手术时机对腹腔镜卵巢囊肿剥离术后患者卵巢功能的影响。 方法选取2015年1月~2016年12月在本院接受治疗的120例卵巢囊肿患者作为研究对象,根据手术时机不同分为卵泡期组以及黄体期组。比较两组患者术前以及术后3个月卵巢激素水平变化和月经变化,以及手术时间、 术中出血量、 术后排气时间、 下床活动时间以及住院时间等指标。 结果 两组患者术前LH、FSH以及E2水平比较无统计学差异(P>0.05),而卵泡期组患者手术前后LH、FSH和E2水平无统计学差异(P>0.05);黄体期组患者术后3个月LH、FSH水平均显著高于术前水平和卵泡期组,而E2水平显著低于术前和卵泡期组患者,差异均具有统计学意义(P<0.05)。黄体期组患者术中出血量明显多于卵泡期组患者 (P<0.05), 但两组患者在手术时间、 下床活动时间、 术后排气时间及出院时间等方面比较无统计学差异 (P>0.05)。卵泡期组术后月经正常率明显高于黄体期组(94.64%和82.81%,?P<0.05)。 结论 卵泡期行腹腔镜下卵巢囊肿剥离术效果更加显著,且对卵巢功能的干扰较小,更有利于卵巢功能恢复。
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蔡海容
关键词:  卵巢囊肿   卵泡期   黄体期   腹腔镜检查    
Abstract: Objective To analyze the patients' ovarian function after laparoscopic ovarian cyst dissection under different menstrual cycles. Methods 120 patients with ovarian cysts treated in our hospital from January 2015 to December 2016 were selected as the subjects. They were divided into the follicular phase group (n=56) and the luteal phase group (n=64) according to different timing of operation. The levels of sex hormones and time of operation, the amount of bleeding, postoperative exhaust time, time of postoperative ambulation and the length of hospital stay were compared between the two groups before and after the operation. Results There was no significant difference in the levels of LH, FSH and E2 between the follicular phase group before and after operation (P>0.05). The levels of LH and FSH in the luteal phase group were significantly higher than the preoperative levels, and also were higher than that of the follicular phase group (P<0.05). The intraoperative bleeding of the luteal phase group was significantly more than that of the follicular phase group (P<0.05), but there was no difference between the two groups in operation time, ambulation time, postoperative exhaust time and hospitalization stay(P>0.05). The menstrual normal rate of the follicular phase group was obviously higher than that of the luteal phase group (94.64% vs. 82.81%,?P<0.05). Conclusion The effect of laparoscopic ovarian cyst dissection in the follicular phase is more significant, which has less interference on ovarian function and more conducive to ovarian recovery.
Key words:  ovarian cysts     follicular phase     luteal phase     laparoscopy
               出版日期:  2018-04-26      发布日期:  2018-08-14      期的出版日期:  2018-04-26
ZTFLH:  R737.31  
通讯作者:  蔡海容   
作者简介:  蔡海容,女,48岁,玉林市中医医院妇科副主任医师。
引用本文:    
蔡海容. 不同月经周期下行腹腔镜卵巢囊肿剥离术的预后分析[J]. 中国现代手术学杂志, 2018, 22(2): 145-148.
CAI Hai-rong. Analysis of the Prognosis of Laparoscopic Ovarian Cyst Dissection Under Different Menstrual Cycles. Chinese Journal of Modern Operative Surgery, 2018, 22(2): 145-148.
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http://www.surgerychina.com/CN/10.16260/j.cnki.1009-2188.2018.02.016  或          http://www.surgerychina.com/CN/Y2018/V22/I2/145
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