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目的:探讨经腹腔镜与经腹行卵巢肿瘤剥除手术对卵巢功能的影响。方法:回顾性分析我市第一人民医院所属妇科进行腹腔镜卵巢剥除手术和经腹行卵巢肿瘤剥除术患者的资料,将手术对其卵巢功能的影响进行比较。结果:经不同手术方法治疗,两组患者在手术后一个月都出现了17β-雌二醇(E2)下降、促卵泡激素(FSH)、促黄体生成素(LH)增高的情况,与手术前比较,差异有显著意义(P<0.05),但两组患者的E2、FSH、LH的水平比较无差异(P>0.05),术后2个月各激素水平与手术前后比较,无显著差异(P>0.05)。结论:腹腔镜卵巢剥除手术不影响卵巢近期的各个激素水平,且手术副作用小、恢复快、安全度高,可作为卵巢肿瘤剥除手术的第一选择。
Objective: To investigate the effect of laparoscopic and transabdominal ovarian tumor excision on ovarian function. Methods: The data of patients undergoing laparoscopic ovarian removal and transabdominal ovariectomy in gynecology affiliated to First People ’s Hospital of our city were retrospectively analyzed. The effects of surgery on their ovarian function were compared. Results: After the operation of different surgical methods, the decline of 17β-estradiol (E2), the increase of follicle stimulating hormone (FSH) and luteinizing hormone (LH) appeared in both groups one month after operation, (P <0.05). There was no significant difference in the levels of E2, FSH and LH between the two groups (P> 0.05). There was no significant difference in the levels of hormones between the two groups after surgery P> 0.05). Conclusions: Laparoscopic ovarian removal surgery does not affect the recent ovarian hormone levels, and the side effects of surgery, fast recovery, high safety, can be used as the first choice for ovarian tumor stripping surgery.