CAJ | 학술논문

目的：探讨不同手术方案对卵巢子宫内膜异位症囊肿患者卵巢储备功能的影响。方法以该院2011年1月至2013年1月收治的90例卵巢内膜异位囊肿患者为研究对象，根据患者最终的手术方案，分为腹腔镜-电凝组（42例）、腹腔镜-缝合组（23例）和开腹手术组（25例），比较3组患者术后内分泌激素指标、超声检查指标和卵巢功能预测指标之间的差异。结果在内分泌指标的比较中，电凝组和缝合组在卵泡刺激素（FS H ）、雌二醇（E2）和FS H/黄体生成素（L H ）方面均优于开腹手术组，电凝组和缝合组之间未见明显差异。在超声检查中，缝合组在卵巢间质血流检查和卵巢形态学检查中，缝合组患者阻力指数、搏动指数、窦卵泡计数和卵巢直径均得到了比电凝组更积极的结果。而在新型卵巢功能评估指标的比较中，缝合组患者血清抑制素B及抗缪勒管激素水平高于电凝组。结论腹腔镜-缝合法比腹腔镜-电凝法和开腹手术对卵巢储备功能的影响更小。
목적：탐토불동수술방안대란소자궁내막이위증낭종환자란소저비공능적영향。방법이해원2011년1월지2013년1월수치적90례란소내막이위낭종환자위연구대상，근거환자최종적수술방안，분위복강경-전응조（42례）、복강경-봉합조（23례）화개복수술조（25례），비교3조환자술후내분비격소지표、초성검사지표화란소공능예측지표지간적차이。결과재내분비지표적비교중，전응조화봉합조재란포자격소（FS H ）、자이순（E2）화FS H/황체생성소（L H ）방면균우우개복수술조，전응조화봉합조지간미견명현차이。재초성검사중，봉합조재란소간질혈류검사화란소형태학검사중，봉합조환자조력지수、박동지수、두란포계수화란소직경균득도료비전응조경적겁적결과。이재신형란소공능평고지표적비교중，봉합조환자혈청억제소B급항무륵관격소수평고우전응조。결론복강경-봉합법비복강경-전응법화개복수술대란소저비공능적영향경소。
Objective To analyze the effect of difference operation scheme on the ovarian reserve function in women with ovarian endometriotic cyst .Methods 90 cases were selected from Jan 2011 to Jan 2013 of our depart-ment ,and were divided into suture group(23 cases) ,electro coagulation group(42 cases) and abdominal surgery group (25 cases) .The level of endocrine hormone indexes ,ultrasonic indicators and ovarian function predictor were com-pared among the different groups .Results In the compare of endocrine hormone indexes ,there was significant differ-ence among three groups .The suture group and the electro coagulation group had more positive results than the ab-dominal surgery group .In the compare of ultrasonic indicators ,the resistance index ,pulsatile index ,antral follicles count and ovary diameter of the suture group were more positive than those in the electro coagulation group ,as well as the inhibin B and aniti-mullerian hormone .Conclusion The operation scheme which set the suture as the hemo-static method by laparoscopic cystectomy would be less decreased of ovarian reserve function in the treatment of ovar-ian endometriotic cyst .