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目的探讨卵巢良性肿瘤剥除术对卵巢储备功能的影响,采用最优方法保护卵巢储备功能。方法选取2015-04-2016-04共82例腹腔镜卵巢良性肿瘤剥除术的患者,其中单侧剥除手术患者58例,设为试验组;双侧剥除患者24例,设为对照组,比较术后两组的临床B超及血清E2、FSH、LH激素指标变化,讨论其对卵巢储备功能的影响。结果试验组术后E2、FSH、LH较术前差异无统计学意义,与对照组相比均降低,差异有统计学意义,P<0.05。对照组24例患者术后B超卵子数、卵巢体积显著少于试验组,差异有统计学意义,P<0.05。结论腹腔镜下对单侧卵巢肿瘤剥除术对卵巢功能的影响小于双侧卵巢肿瘤剥除术,且对卵巢内分泌影响较小。双侧卵巢肿瘤剥除术术后卵巢储备功能有一定降低,手术中应尽量对卵巢储备功能进行保护。
Objective To investigate the effect of ovarian benign tumor excision on ovarian reserve function and to optimize ovarian reserve function. METHODS: A total of 82 patients with laparoscopic benign ovarian tumors were selected from April 2015 to April 2015. Among them, 58 patients underwent unilateral surgical removal, which were divided into experimental group and 24 patients with bilateral stripping, which were set as control group The changes of clinical B-ultrasonography and serum E2, FSH and LH hormones were compared between the two groups to discuss the effect on the ovarian reserve function. Results The postoperative E2, FSH and LH levels in the experimental group were not significantly different from those in the control group, but were significantly lower than those in the control group (P <0.05). The number of B-ovum and ovary in 24 patients in the control group were significantly less than those in the test group, with significant difference (P <0.05). Conclusion Laparoscopic unilateral ovarian tumor stripping has less effect on ovarian function than bilateral ovarian tumor stripping and has less effect on ovarian endocrine. Ovary tumor reserve after ovariectomized surgery has a certain reduction, surgery should try to protect ovarian reserve function.