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%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卵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卵泡数(F0)以判断卵巢储备功能.结果 A组和B组卵巢中的窦卵泡数均少于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.
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