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目的探讨腹腔镜手术治疗卵巢子宫内膜异位囊肿的价值。方法将100例子宫内膜异位囊肿患者分为观察组和对照组,观察组采用腹腔镜囊肿剥除术治疗,对照组采用常规开腹卵巢子宫内膜异位囊肿剥除治疗。比较两组患者手术时间、术中出血量、术后恢复情况及雌二醇(E2)、黄体生成素(LH)及促卵泡激素(FSH)水平。结果观察组术中出血量、术后排气时间、下床活动时间、住院时间均少于或短于对照组,差异有统计学意义(P<0.05)。术后第1次月经第3天,观察组LH、FSH水平均显著高于对照组,E2水平显著低于对照组(P<0.05)。结论在卵巢子宫内膜异位囊肿的治疗中,腹腔镜手术组织损伤小,患者术后恢复快,卵巢功能保留好。
Objective To investigate the value of laparoscopic surgery for ovarian endometriosis cyst. Methods 100 cases of endometriotic cysts were divided into observation group and control group. The observation group was treated by laparoscopic cyst excision. The control group was treated by conventional laparoscopic ovarian endometriosis. The operation time, intraoperative blood loss, postoperative recovery and the levels of estradiol (E2), luteinizing hormone (LH) and follicle stimulating hormone (FSH) were compared between the two groups. Results The intraoperative blood loss, postoperative exhaust time, ambulation time and hospital stay were both shorter and shorter than those in the control group (P <0.05). On the third day after the first menstruation, the levels of LH and FSH in the observation group were significantly higher than those in the control group, and the E2 level was significantly lower than that in the control group (P <0.05). Conclusion In the treatment of ovarian endometriotic cysts, laparoscopic tissue injury is small, the patients recover quickly, and the ovarian function remains well.