三种方法治疗卵巢子宫内膜异位囊肿对卵巢功能的影响

目的探讨腹腔镜剥除、开腹剥除、超声介入治疗卵巢子宫内膜异位囊肿对卵巢功能的影响。方法选取我院有手术适应证的卯巢子宫内膜异位囊肿患者78例，随机分为三组，A组：26例，采用腹腔镜下卵巢子宫内膜异位囊肿剥除术；B组：26例，采用开腹卵巢子宫内膜异位囊肿剥除术；C组：26例，采用超声引导经阴道穿刺注入无水乙醇治疗卵巢子宫内膜异位囊肿。所有患者术前、术后（术后第2次月经）及术后6个月均抽血检测卵泡刺激素（FSH）、黄体生成素（LH）、雌二醇（E2）及阴道超声探测窦状卯泡数（FO）以判断卵巢储备功能。结果A组和B组卵巢中的窦卯泡数均少于C组（P〈0．05），其血清中FSH、E2均高于C组（P〈0．05），而A组与B组间差异无显著性（P〉0．05）。结论腹腔镜及开腹手术剥除卵巢子宫内膜异位症囊肿均可影响卵巢功能，减低卵巢储备能力。

Three ways to excision of ovarian endometriomas on ovarian function

Objective To investigate three ways to excision of ovarian endometriomas on ovarian function. Metmds A retrospective study on 78 women with ovarian endometriomas. A group:26 patients had received a laparoscopic cystectomy; B group:26 patients had undergone an open cystectomy; C group:26patients had been treated with ultrasound-guided interventional treatment of ovarian endometriomas.Numbers of antral follicles. FSH. LH and E2 were tested for tree times :before the operation. The second and sixth month after the operation. Results Numbers of antral follicles in the A and B group were significant fewer than the C group( P＜0.05 ).There was no difference in the dosage and duration of FSH application between laparoscopic and open cystectomy group(P＞0.05 ), but the dosage and duration of follicle-stimalating hormone( FSH ) application in the laparoscopic and open cystectomy groups were significantly increased than in the C group ( P＜ 0.05 ).Conclusion Both laparoscopic and open cystectomy of ovarian endometriomas may cause damage to ovarian function