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目的:探讨双侧卵巢子宫内膜异位囊肿腹腔镜下剔除术对卵巢储备功能及生育能力影响。方法:随机选择66例双侧卵巢子宫内膜异位囊肿的患者,分为对照组33例,采用传统的异位子宫内膜剔除术,腹腔镜组33例患者,采用水平腹腔镜囊肿剔除术,收集两组患者的一般资料,分别在手术前、术后2天、1、3、6个月检测患者体内血清LH、FSH、E2水平。结果:相比于对照组,腹腔镜组手术出血量及手术时间明显缩短(P<0.05)。结论:腹腔镜手术安全有效,对正常组织破坏较少,患者的生育功能一般在半年内均恢复正常,值得临床推广应用。
Objective: To investigate the effect of laparoscopic resection of bilateral ovarian endometriosis on ovarian reserve function and fertility. Methods: Sixty-six patients with bilateral ovarian endometriosis were randomly divided into control group (n = 33) and conventional ectopic endometrial resection (33 cases). Laparoscopic cyst excision The general data of two groups of patients were collected. The levels of serum LH, FSH and E2 in the patients were measured before operation, 2 days after operation, 1, 3, and 6 months after operation. Results: Compared with the control group, the amount of laparoscopic surgery and operation time were significantly shorter (P <0.05). Conclusions: Laparoscopic surgery is safe and effective, with less damage to normal tissues. The fertility function of patients usually return to normal within six months, which is worthy of clinical application.