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

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倒），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（FSH）、雌二醇（E2）和FSH／黄体生成素（LH）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。

Effect of difference operation scheme on the ovarian reserve function in women with ovarian endometriotic cyst

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.