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| Effects of Laparoscopic Ovarian Cyst Torsion Reduction Surgery on Ovarian Reserve Function |
| HUANG Jing, ZHANG Ming-ming, DENG Xi-he, et al |
| The Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region, Nanning, Guangxi 530000 |
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Abstract 【Objective】To investigate the effect of laparoscopic torsion reduction of ovarian cyst pedicle on ovarian reserve function.【Methods】The clinical data of 80 patients with ovarian cyst pedicle torsion from January 2015 to July 2017 were analyzed retrospectively. Among them, 40 cases were treated with laparoscopic reduction of ovarian cyst pedicle torsion (observation group), 40 cases with laparoscopic appendectomy (control group). The perioperative indexes, indexes of ovarian reserve function [Estradiol (E2), follicle stimulating hormone (FSH), anti-Mullerian duct hormone (AMH), basic antral follicle count, peak systolic velocity of ovarian artery (PSV), end diastolic velocity (EDV), pulsatile index (Pi), resistance index (RI)]and the incidence of complications were compared between the two groups.【Results】The operative time and bleeding volume in the observation group were more than those in the control group, and the difference was statistically significant (P<0.05), but there was no significant difference in the hospitalization time between the two groups (P>0.05). There was no significant difference in the indexes of ovarian reserve function between the two groups before operation (P>0.05). After operation, the E2, AFC, PSV, EDV in the observation group was significantly lower than that in the preoperative group. The decrease of E2in the observation group was significantly higher than that in the control group (P<0.05). The decrease rate of AFC, PSV, EDV in observation group was lower than that in control group (P<0.05), and the difference between the two groups was statistically significant (P<0.05). In both groups, the FSH, AMH, RI, PI were higher than those of preoperation. The increase of FSH in the observation group was higher than that in the control group (P<0.05), and the increase rate of AMH, RI, PI in the observation group was lower than that in the control group, the difference was statistically significant (P<0.05). There were no complications such as biliary tract injury, subcutaneous emphysema, hypercapnia in the two groups.【Conclusion】Laparoscopic transposition of ovarian cyst pedicle can preserve the attachment, which has little effect on the ovarian reserve function after operation, and has high safety, so it is worth popularizing in clinic.
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Received: 05 December 2017
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2018, Vol. 35 
