王春梅 肖新益

【摘要】 目的：研究卵巢子宫内膜异位囊肿患者实施腹腔镜剔除术和开腹囊肿剥脱术对卵巢储备及生育功能的影响。方法：选取2015年5月-2019年1月在笔者所在医院住院手术治疗的卵巢子宫内膜异位囊肿86例，根据手术方法的不同将43例开腹囊肿剥脱术病例列入参照组，应用腹腔镜剔除术43例患者列入试验组。分析患者的卵巢储备及生育功能。结果：（1）两组血清促卵泡生成素比较，差异无统计学意义（P>0.05），試验组卵子数、好胚数、窦卵数高于参照组，组间差异有统计学意义（P<0.05）。（2）试验组妊娠率（62.79%）、分娩率（48.84%）高于参照组（37.21%、20.93%），组间差异有统计学意义（P<0.05）。结论：卵巢子宫内膜异位囊肿患者采用腹腔镜剔除术效果确切，能够改善患者卵巢储备功能，满足其生育愿望。

【关键词】 卵巢子宫内膜异位囊肿 腹腔镜剔除术 开腹囊肿剥脱术 卵巢储备 生育功能

doi：10.14033/j.cnki.cfmr.2020.20.054 文献标识码 B 文章编号 1674-6805（2020）20-0-02

Effect of Laparoscopic Excision and Open Cyst Stripping on Ovarian Reserve and Reproductive Function in Patients with Ovarian Endometriosis Cyst/WANG Chunmei， XIAO Xinyi. //Chinese and Foreign Medical Research， 2020， 18（20）： -133

[Abstract] Objective： To study the effect of laparoscopic excision and open cyst exfoliation on ovarian reserve and reproductive function in patients with ovarian endometriosis. Method： From May 2015 to January 2019， 86 patients with ovarian endometriosis cyst were treated in our hospital. According to the different operation methods， 43 cases of open abdominal cyst exfoliation were included in the reference group， and 43 patients were included in the experimental group by laparoscopic excision. The ovarian reserve and reproductive function of the patients were analyzed. Result： （1） Serum follicle stimulating hormone in two groups had no significant difference （P>0.05）. The number of eggs， the number of good embryos and the number of sinus eggs in the experimental group were higher than those in the reference group， and there were significant differences between the groups （P<0.05）. （2） The proportion of pregnancy （62.79%） and delivery （48.84%） in the experimental group were higher than those in the reference group （37.21%， 20.93%）， and there were significant differences between the two groups （P<0.05）. Conclusion： The effect of laparoscopic excision in patients with ovarian endometriosis cyst can improve the function of ovarian reserve and satisfy their fertility.

[Key words] Ovarian endometriosis cyst Laparoscopic excision Open cyst stripping Ovarian reserve Reproductive function

First-authors address： Aikang Hospital of Huangshi City， Huangshi 435000， China

卵巢囊肿作为女性常见生殖系统疾病，其临床发生比例较高，可出现囊肿增大压迫周围组织产生疼痛等腹部不适，也会导致不孕，甚至可能出现恶性变可能。卵巢子宫内膜异位囊肿好发于育龄期女性，其生育功能受到严重影响[1-2]。传统治疗卵巢子宫内膜异位囊肿疾病多采用开腹手术方式，虽然能够改善患者病情，但其手术创伤大，恢复慢，其操作不精细，易出现卵巢损伤及卵巢周围组织粘连，术后卵巢储备及生育功能受到影响，对于部分有生育意愿的患者而言，不是最佳治疗方案[3]。对此，本研究对卵巢子宫内膜异位囊肿治疗措施进行分析，讨论腹腔镜剔除术与开腹囊肿剥脱术对其卵巢储备及生育功能影响。

1 资料与方法

1.1 一般资料

选取86例于2015年5月-2019年1月在笔者所在医院住院治疗的卵巢子宫内膜异位囊肿患者，纳入标准：（1）影像学检查确诊为卵巢子宫内膜异位囊肿，直径大于3 mm;（2）囊肿短期内迅速增大;（3）合并不孕。排除……