垂体后叶素水分离法在腹腔镜下卵巢子宫内膜异位囊肿剥除术中的应用

doi:10.3969/j.issn.1671-7171.2017.11.016

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摘要【目的】探讨垂体后叶素水分离法在腹腔镜下卵巢子宫内膜异位囊肿剥除术中的应用效果。【方法】将本院自2010年3月至2016年9月收治的167例行腹腔镜下卵巢子宫内膜异位囊肿剥除术患者作为研究对象,随机的分为观察组85例和对照组82例。观察组患者在手术过程中使用垂体后叶素水分离法,对照组患者进行常规手术,观察两组患者的临床疗效及手术对患者卵巢功能的影响。【结果】观察组患者手术时间、术中出血量均显著少于对照组(P＜0.05);与手术前相比,术后1个月卵泡刺激素(FSH)、黄体生成素(LH)、雌二醇(E₂)水平以及窦状卵泡数(Fo)均降低,术后6个月观察组LH、E₂水平均升高,对照组FSH、LH、E₂水平均升高(P<0.05);观察组术后1个月FSH、LH、E₂水平以及Fo水平均低于对照组术后1个月水平,术后6个月观察组FSH低于对照组术后6个月水平,LH、E₂水平以及Fo水平高于对照组术后6个月水平(P<0.05)。【结论】腹腔镜下使用稀释垂体后叶素水分离法进行卵巢子宫内膜异位囊肿剥除术,降低了手术难度,缩短了手术时间,减少了术者出血量,有效的保护了卵巢的功能,具有一定的临床价值。

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	郑霞

关键词 ：腹腔镜检查/方法, 子宫内膜异位症/并发症, 卵巢囊肿/病因学, 卵巢囊肿/外科学, 垂体激素类, 后叶

Abstract：【Objective】To investigate the application of pituitrin-water separation in laparoscopic ovarian endometriosis cystectomy.【Methods】From March 2010 to September 2016, 167 cases of laparoscopic ovarian cystectomy in our hospital were selected as the research objects and were randomly divided into observation group (85 cases) and control group (82 cases) . Patients in the observation group were treated with pituitrin-water separation during the operation, and the patients in the control group were given routine surgery. The clinical efficacy of the two groups and the influence of operation on ovarian function were observed.【Results】The operation time and the amount of bleeding in the observation group were significantly less than those in the control group (P<0.05) ; compared with preoperative, the levels of follicle stimulating hormone (FSH) , luteinizing hormone (LH) , estradiol (E₂) and antral follicle (Fo) were decreased 1 month after operation. At 6 months after operation, the levels of LH and E₂ in the observation group were increased, and the levels of FSH, LH and E₂ in the control group were all increased (P<0.05) ; the levels of FSH, LH, E₂ and Fo in the observation group at 1 month after operation were lower than those in the control group 1 months after operation. At 6 months after operation, the FSH of the observation group was lower than that of the control group at 6 months after operation, and the levels of LH, E₂ and Fo were higher than those of the control group at 6 months after operation (P<0.05) .【Conclusion】Laparoscopic resection of ovarian endometriotic cyst with diluted pituitrin-water separation reduces the difficulty of operation, shortens the operation time, reduces the amount of bleeding, and effectively protects the function of the ovary, which has certain clinical value.

Key words： Laparoscopy/MT Endometriosis/CO Ovarian Cysts/ET Ovarian Cysts/SU Pituitary Hormones, Posterior

收稿日期: 2017-02-27

PACS:

R711.71

引用本文:

郑霞. 垂体后叶素水分离法在腹腔镜下卵巢子宫内膜异位囊肿剥除术中的应用[J]. 医学临床研究, 2017, 34(11): 2130-2132,2136.
ZHENG Xia. Application of Pituitrin-Water Separation in Laparoscopic Ovarian Endometriosis Cystectomy. JOURNAL OF CLINICAL RESEARCH, 2017, 34(11): 2130-2132,2136.

链接本文:

http://www.jcr.net.cn/CN/10.3969/j.issn.1671-7171.2017.11.016 或 http://www.jcr.net.cn/CN/Y2017/V34/I11/2130

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