CAJ | 학술논문

目的：探讨腹腔镜手术对卵巢囊肿剥除术患者子宫内膜容受性的影响。方法选择腹腔镜手术治疗的卵巢囊肿患者120例，分为缝合组和电凝组，对患者术前术后卵巢激素水平及子宫内膜容受性进行比较分析。结果缝合组及电凝组术前与术后3月FSH、LH比较，差异无统计学意义(P>0.05)。E2比较，电凝组E2下降程度大于缝合组。缝合组及电凝组术后3月E2水平均较术前下降（P＜0.01），电凝组E2下降程度大于缝合组差异有统计学意义（t=7.74, P＜0.01）。缝合组子宫内膜容受性改变优于电凝组，差异有统计学意义（P＜0.05）。结论在腹腔镜手术中，尽量避免电凝，尽量保留正常组织，对预防卵巢储备功能下降及改善子宫内膜容受性具有重要意义。
목적：탐토복강경수술대란소낭종박제술환자자궁내막용수성적영향。방법선택복강경수술치료적란소낭종환자120례，분위봉합조화전응조，대환자술전술후란소격소수평급자궁내막용수성진행비교분석。결과봉합조급전응조술전여술후3월FSH、LH비교，차이무통계학의의(P>0.05)。E2비교，전응조E2하강정도대우봉합조。봉합조급전응조술후3월E2수평균교술전하강（P＜0.01），전응조E2하강정도대우봉합조차이유통계학의의（t=7.74, P＜0.01）。봉합조자궁내막용수성개변우우전응조，차이유통계학의의（P＜0.05）。결론재복강경수술중，진량피면전응，진량보류정상조직，대예방란소저비공능하강급개선자궁내막용수성구유중요의의。
Objective To explore the effect of laparoscopic ovarian cystectomy on endometrial receptivity. Methods 120 cases with ovarian cysts underwent laparoscopic ovarian cystectomy were selected and divided into the suture group and electric coagulation group. The ovarian hormone levels and endometrial receptivity of the patients before and after operation were compared and ana-lyzed. Results The differences in FSH, LH between the suture group and the electric coagulation group before the operation and 3 months after the operation were not statistically significant (P>0.05). E2 in electric coagulation group decreased more than that in suture group. The E2 levels of both groups 3 months after operation decreased compared with those before operation (P<0.01), E2 in electric coagulation group decreased more than that in suture group (t=7.74, P<0.01). The change of endometrial receptivity of the suture group was better than that of the electric coagulation group, the difference was statistically significant ( P<0.05). Conclu-sion In laparoscopic operation, electric coagulation should be avoided and normal tissue should be preserved as far as possible, which is of important significance in preventing the decline of ovarian reserve function and improving the endometrial receptivity.