CAJ | 학술논문

目的：探讨腹腔镜下卵巢良性肿瘤剥除对生殖内分泌功能的影响。方法选取2011年9月～2013年3月来我院就诊的卵巢良性肿瘤患者127例，根据治疗方法分为观察组（79例）及对照组（48例）。对照组采用常规经腹手术，观察组采用腹腔镜进行手术。观察两组患者治疗前后LH、E2、FSH各指标及手术时间、术中出血量、术后下床活动时间及术后住院时间等指标。结果观察组患者治疗前后比较，LH、E2、FSH各指标差异均显著（t=35.136，9.354，12.312，P＜0.05）。对照组患者治疗前后比较，LH、E2、FSH各指标差异均显著（t=28.651，16.357，4.137，P＜0.05）。观察组治疗后LH、E2、FSH各指标与对照组比较，差异有统计学意义（t=29.316，13.168，9.662，P＜0.05）。观察组手术时间、术中出血量、术后下床活动时间及术后住院时间均优于对照组（t分别为7.356，21.245，6.346，9.116，P＜0.05）。观察组的AMH指数，基础窦卵泡数（AFC）及bFSH等指标皆显著高于对照组，差异显著（t分别为6.337，7.365，5.134，P＜0.05）。结论卵巢良性肿瘤剥除具有较好的安全性及可靠性，可以较好的保留患者的生殖内分泌功能。
목적：탐토복강경하란소량성종류박제대생식내분비공능적영향。방법선취2011년9월～2013년3월래아원취진적란소량성종류환자127례，근거치료방법분위관찰조（79례）급대조조（48례）。대조조채용상규경복수술，관찰조채용복강경진행수술。관찰량조환자치료전후LH、E2、FSH각지표급수술시간、술중출혈량、술후하상활동시간급술후주원시간등지표。결과관찰조환자치료전후비교，LH、E2、FSH각지표차이균현저（t=35.136，9.354，12.312，P＜0.05）。대조조환자치료전후비교，LH、E2、FSH각지표차이균현저（t=28.651，16.357，4.137，P＜0.05）。관찰조치료후LH、E2、FSH각지표여대조조비교，차이유통계학의의（t=29.316，13.168，9.662，P＜0.05）。관찰조수술시간、술중출혈량、술후하상활동시간급술후주원시간균우우대조조（t분별위7.356，21.245，6.346，9.116，P＜0.05）。관찰조적AMH지수，기출두란포수（AFC）급bFSH등지표개현저고우대조조，차이현저（t분별위6.337，7.365，5.134，P＜0.05）。결론란소량성종류박제구유교호적안전성급가고성，가이교호적보류환자적생식내분비공능。
Objective To explore the effect of laparoscopic benign ovarian tumor resection on reproductive endocrine function. Methods 127 patients with benign ovarian tumors from September 2011 to March 2013 in our hospital were selected,and divided into the observation group(79 cases) and control group(48 cases) according to the treatment methods.The control group used conventional transabdominal operation,the observation group was treated with laparoscopic operation.Two groups were observed before and after treatment in patients with LH,E2,FSH indexes and operation time,amount of bleeding,postoperative ambulation time, postoperative hospitalization time. Results The differences were significant in the indexes of LH,E2,FSH in the observation group(t=35.136,9.354,12.312, P < 0.05)and control group(t=28.651,16.357,4.137,P < 0.05)between before and after treatment.Compared with the control group after treatment,the indexes of LH,E2,FSH in the observation group after treatment had significant difference(t=29.316,13.168,9.662,P < 0.05).The operation time,amount of bleeding,postoperative ambulation time,postoperative hospitalization time in the observation group were better than those in the control group(t=7.356,21.245,6.346,9.116,P < 0.05),the AMH index,AFC and bFSH were significantly higher than those in the control group(t=6.337,7.365,5.134,P < 0.05). Conclusion Benign ovarian tumor resection has safety and reliability,as well has a good effect on the preservation of reproductive endocrine function.