王建荣 何朝霞

摘 要 目的：探讨分析卵巢囊肿剥除术对患者术后妊娠结局的影响。方法：选择进行腹腔镜卵巢囊肿剥除术的30例卵巢子宫内膜异位囊肿患者为观察组，同期选取进行开腹卵巢囊肿剥除术治疗的30例卵巢子宫内膜异位囊肿患者为对照组。两组患者均随访2年，对比分析术后卵巢功能指标及妊娠结局。结果：术前两组患者雌二醇（estradiol， E2）、促黄体生成素（luteinizing hormone， LH）及促卵泡素（follicle-stimulating hormone， FSH）比较差异不显著（P>0.05）；与治疗前相比，治疗后3个月及6个月两组患者各指标均未发生明显改变，且组间比较差异亦不显著（P>0.05）；经治疗，观察组患者平均妊娠时间显著短于对照组，且观察组妊娠率显著高于对照组（P<0.05）。结论：与传统开腹卵巢囊肿剥除术相比，腹腔镜卵巢囊肿剥除术对患者卵巢功能并无额外伤害，且可以显著缩短患者的妊娠时间并提高妊娠率。

关键词 卵巢囊肿剥除术 腹腔镜 卵巢功能 妊娠结局

中图分类号：R711.75 文献标志码：B 文章编号：1006-1533（2018）19-0040-02

Analysis of the effects of ovarian endometrial cystectomy on postoperative pregnancy outcome in 30 patients

WANG Jianrong*， HE Zhaoxia

（Department of Gynecology， Urumqi Hospital of Traditional Chinese Medicine， Urumqi 830000， China）

ABSTRACT Objective： To explore the effects of ovarian cystectomy on pregnancy outcome. Methods： Thirty cases of patients with endometrial cyst of ovary underwent laparoscopic ovarian cystectomy were selected as an observation group and meanwhile the other 30 cases underwent open surgery as a control group. All the patients were followed up for two years and the postoperative ovarian function indexes and pregnancy outcome were compared between the two groups. Results： The differences in the levels of estradiol， luteinizing hormone and follicle-stimulating hormone in the two groups were not significant before operation （P>0.05）. There were no significant changes in the indexes between the two groups at 3 months and 6 months after treatment compared with those before treatment （P>0.05）. After treatment， the mean gestation time was significantly shorter and the pregnancy rate was significant higher in the observation group than the control group （P<0.05）. Conclusion： Laparoscopic ovarian cystectomy can shorten gestation time with higher pregnancy rate compared with traditional ovarian cystectomy.

KEy WORDS ovarian cystectomy； laparoscope； ovarian function； pregnancy outcome

卵巢囊腫是一种妇科常见的生殖器官肿瘤，该病在各个年龄阶段的人群中均有可能发生，且好发于生育期女性，如不进行及时治疗可能影响患者卵巢排卵，也容易诱发女性月经不调，严重可能导致不孕，严重影响患者生活质量[1-2]。目前的治疗标准依据患者的具体情况和卵巢囊肿的大小而定，对于<5 cm的卵巢囊肿一般采用药物保守治疗，≥5 cm的卵巢囊肿则需要进行手术治疗。卵巢囊肿剥除术是一种常用术式，如何在保证手术成功的同时尽量减少对患者卵巢功能和生育功能的损伤受到医患的广泛关注。本研究将我院2014年1月—2015年12月收治的进行不同卵巢囊肿剥除手术患者的卵巢功能和妊娠结局进行比较，旨在探讨不同卵巢囊肿剥除术对患者卵巢功能和妊娠结局的影响，为需进行手术治疗的卵巢囊肿患者术式选择提供理论依据。