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| Comparison of Transvaginal Posterior Fornix Puncture and Drainage and Laparoscopic Surgery in the Treatment of Ovarian Corpus Luteum Rupture |
| YE Li-li, PAN Yue |
| Department of Emergency, Shandong Provincial Third Hospital, Jinan , Shandong 250031 |
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Abstract 【Objective】To investigate the efficacy of transvaginal posterior fornix puncture and drainage and laparoscopic surgery in the treatment of ovarian corpus luteum rupture. 【Methods】A total of patients with ovarian corpus luteum rupture diagnosed and treated in the Third Hospital of Shandong Province from February 2018 to February 2020 was selected as the research objects. They were randomly divided into puncture and drainage group (n=30) and laparoscopy group (n=30). The patients in the puncture and drainage group were treated with transvaginal posterior fornix puncture and drainage, and the patients in the laparoscopic group were treated with laparoscopic surgery. The operation related indexes, postoperative pain, ovarian reserve function indexes (anti Mullerian hormone (AMH), inhibin B (INHB) and postoperative adverse reactions were compared between the two groups. 【Results】The amount of intraoperative bleeding, operation time, hospitalization days and hospitalization expenses in the puncture and drainage group were less than those in the laparoscopy group (P<0.05); The VAS scores at T1, T2 and T3 in the puncture and the drainage group were significantly lower than those in the laparoscopy group (P<0.05). After operation, the expression levels of serum AMH and INHB in the two groups were significantly lower than those before treatment (P<0.05), and the expression levels of serum AMH and INHB in the laparoscopic group were significantly lower than those in the puncture and drainage group (P<0.05). The incidence of postoperative lower abdominal pain, abnormal menstruation, abnormal basal body temperature and uterine bleeding in the puncture and drainage group were significantly lower than those in the laparoscopy group (P<0.05). 【Conclusion】 Compared with laparoscopic surgery, transvaginal posterior fornix puncture and drainage in the treatment of patients with ovarian corpus luteum rupture has less postoperative pain, less impact on ovarian reserve function, and high safety, which is worthy of clinical application.
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Received: 07 December 2021
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2022, Vol. 39 
