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目的 :在对卵巢良性肿瘤进行治疗时,应用腹腔镜对卵巢良性肿瘤剥除术进行治疗,分析并探讨其对于患者卵巢储备功能所造成的影响。方法 :选择152例在我院进行治疗的卵巢良性肿瘤患者,所有患者均应用腹腔镜剥除术的治疗方法,其中116例患者进行单侧剥除治疗,设定为A组,另有36例患者进行双侧剥除治疗,设定为B组,观察并分析手术对于两组患者卵巢储备功能所造成的影响。结果 :手术后3个月,在激素水平方面两组患者对比差异有显著性(P<0.05),152例患者手术一侧的卵子数以及大于14mm卵泡数均要明显地少于健侧(P<0.05),卵巢窦卵泡的对比组间差异无显著性(P>0.05)。结论 :对于进行良性肿瘤剥除的患者来说,应用腹腔镜手术的方法在短期对患者卵巢的储备功能会造成一定的影响,但对于远期妊娠来说,并不存在较大影响,特别是双侧剥除的患者对于卵巢的内分泌功能有着较大的影响,单侧剥除则不存在较为明显的影响。
Objective: In the treatment of benign ovarian tumors, the application of laparoscopy for the treatment of benign ovarian tumors removal, analysis and explore its impact on ovarian reserve in patients with the impact. METHODS: A total of 152 patients with benign ovarian tumor who were treated in our hospital were enrolled. All patients were treated with laparoscopic ablation. One hundred and sixty-six patients were treated by unilateral peel-off, Patients were treated with bilateral stripping and were assigned to Group B to observe and analyze the effect of surgery on ovarian reserve in both groups. Results: There were significant differences in hormonal levels between the two groups at 3 months after operation (P <0.05). The number of ovum on operation side and the number of follicles larger than 14mm in 152 cases were significantly less than those on healthy side (P <0.05). There was no significant difference in ovarian sinus follicles between the two groups (P> 0.05). CONCLUSIONS: Laparoscopic surgery may have an impact on the ovarian reserve in the short term for patients with benign tumor stripping, but there is no significant effect on long-term pregnancy, in particular Bilateral stripping of patients with ovarian endocrine function has a greater impact, unilateral removal there is no more obvious impact.