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Effects of Suspension Laparoscopic Surgery on Sex Hormone Levels and Pregnancy in Patients with Ovarian Cysts |
LIANG Xiao-hong |
Department of Gynaecology,Qinghai Provincial Traffic Hospital,Xining, Qinghai 810008 |
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Abstract 【Objective】To analyze the effect of suspension laparoscopic surgery on postoperative sex hormone levels and pregnancy in patients with ovarian cysts. 【Methods】Ninety patients with ovarian cysts who underwent surgery in our hospital from August 2015 to June 2016 were selected as the subjects. All patients were divided into two groups according to the random number table method. The patients in the control group were treated with traditional laparotomy. The observation group was treated by suspension laparoscopic surgery. The changes of sex hormones were compared between the two groups before and 1 month, 3 months and 6 months after surgery. The outcome of 12-month pregnancy was compared as well. 【Results】The operation time, intraoperative blood loss, postoperative activity time for getting out of bed and length of hospital stay were longer in the control group than in the observation group, the difference was statistically significant (P<0.05).There were no significant differences in sex hormone levels between the two groups before and 6 months after operation (P>0.05);The levels of luteinizing hormone (LH), serum follicle stimulating hormone (FSH) and estradiol (E2) in the control group were higher than those in the observation group at 1 month and 3 months after operation; the differences were statistically significant (P<0.05);The natural pregnancy rate of the control group was significantly lower than that of the observation group (P<0.05).;There was no significant difference in spontaneous abortion rate, live birth rate and preterm birth rate between the two groups (P>0.05). 【Conclusion】For patients with ovarian cysts, the use of suspended laparoscopic surgery can effectively stabilize the postoperative sex hormone levels, ensure the normal ovulation function of ovaries, and contribute to the natural pregnancy after surgery.
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Received: 24 October 2017
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[1] 陈艳萍,孙昊天,陈燕勤.腹腔镜下卵巢囊肿剔除术中麻醉护理的干预效果观察[J].中国计划生育学杂志,2016,24(08):566-568. [2] 罗一,金华.腹腔镜对良性卵巢囊肿患者的治疗效果及对卵巢功能的影响[J].医学综述,2016,22(20):4152-4155. [3] 都成,齐跃,刘水策,等.腹腔镜下卵巢囊肿剥除术前后AMH与bFSH水平的变化与临床价值[J].现代生物医学进展,2016,16(16):3062-3065. [4] 范从红,廖晓燕,刘江,等.妊娠合并卵巢囊肿的腹腔镜手术治疗及预后观察[J].实用临床医药杂志,2016,20(19):185-186. [5] Papanikolaou A,Michala L.Autonomous ovarian cysts in prepubertal girls. how aggressive should we be a review of the literature[J].J Pediatr Adolesc Gynecol,2015,28(5):292-296. [6] 张胜英,彭洁,李洁,等.悬吊式腹腔镜手术治疗卵巢囊肿的临床观察[J].中国妇幼保健,2015,30(18):3085-3087. [7] 李银凤.改良双孔腹壁皮下悬吊式腹腔镜手术治疗良性卵巢肿物的临床疗效分析[J].中国妇幼保健,2014,29(09):1451-1452. [8] 戴妮,程丽.单孔和多孔腹腔镜卵巢囊肿剥除术对卵巢储备功能的影响[J].中国妇幼健康研究,2016,27(02):241-242,265. [9] 李芳,甘晓卫,曹云桂,等.腹腔镜卵巢子宫内膜异位囊肿剥除联合CO2激光消融术对卵巢储备功能的影响[J].中国微创外科杂志,2015,15(06):518-521. [10] 廖林.腹腔镜与开腹手术治疗卵巢囊肿的临床效果对比分析[J].中国急救医学,2015,35(z2):273-274. [11] 栾梅,孟聪然.经阴道穿刺手术治疗卵巢囊肿及对其卵巢功能的影响[J].实用临床医药杂志,2016,20(01):102-104. |
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