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Application effect of laparoscopic pituitrin water separation and exfoliation in patients with ovarian cysts |
YAN Xiaoshuai |
Department of Gynecology, Xiamen Fifth Hospital, Fujian Province, Xiamen 361101, China |
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Abstract Objective To explore the effect of laparoscopic pituitrin water separation and exfoliation in the treatment of ovarian cysts (OC) and its influence on the quality of patients′ follicles, hormone levels and complications. Methods A total of 80 OC patients admitted to Xiamen Fifth Hospital from January to December 2020 were selected as the research objects, and they were divided into the observation group (n=40) and the control group (n=40) according to random number table method. The control group was treated with conventional laparoscopic cystectomy, and the observation group was treated with laparoscopic pituitrin water separation and exfoliation. The changes of follicle quality (serum leptin [LEP], total antioxidant capacity [TAC], vascular endothelial growth factor [VEGF]), the number of antral follicles [AFC], hormone levels (estradiol [E2], luteinizing hormone [LH], follicle stimulating hormone [FSH]) before and after operation were compared between the two groups, the incidence of postoperative complications and the pregnancy rate within one year in the two groups were statistically analyzed. Results Before operation, there were no significant difference in follicular quality index, AFC, and hormone levels between the two groups of patients (P>0.05). After operation, the levels of LEP, VEGF, E2, LH and FSH in the observation group were lower than those in the control group, and the levels of TAC and AFC in the observation group were higher than those in the control group, the differences were statistically significant (P<0.05). The total incidence of postoperative complications in the observation group was lower than that in the control group, and the difference was statistically significant (P<0.05). The pregnancy rate within one year in the observation group was higher than that in the control group, and the difference was statistically significant (P<0.05). Conclusion Laparoscopic pituitrin water separation and exfoliation in the treatment of OC has a positive effect on improving the quality of follicles and hormone levels in patients. After this surgical treatment, the risk of postoperative complications is lower and the rate of successful pregnancy is higher.
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[1] |
林梅.腹腔镜与开腹卵巢囊肿剥除术对卵巢囊肿患者康复及卵巢功能的影响比较[J].中国临床新医学,2021,14(10):1019-1022.
|
[2] |
杨屹,康瑛,罗金维.腹腔镜下卵巢囊肿剥除术对不同性质卵巢囊肿患者卵巢储备功能的影响[J].中国性科学,2019,28(4):68-72.
|
[3] |
王琳.经阴道卵巢囊肿剥除术治疗良性卵巢囊肿临床疗效分析[J].世界复合医学,2020,6(7):37-39.
|
[4] |
姚素丽.腹腔镜卵巢囊肿剥除术对卵巢囊肿患者性激素水平及免疫功能的影响[J].实用医技杂志,2019,26(1):86-87.
|
[5] |
王达颖,叶明珠,李敏,等.探讨垂体后叶素水分离法在腹腔镜下卵巢子宫内膜异位囊肿剥除术中的应用价值[J].医学理论与实践,2018,31(16):2467-2469.
|
[6] |
陈思诗,丁景新.妊娠合并卵巢囊肿的诊疗策略[J].中国医药科学,2019,9(11):30-35.
|
[7] |
薛聪玲,何社红.开腹卵巢囊肿剥除术与气腹式腹腔镜卵巢囊肿剥除术对良性卵巢囊肿患者卵巢功能的影响比较[J].新乡医学院学报,2019,36(4):350-352,356.
|
[8] |
郑莉花.卵巢囊肿腹腔镜剥除术中止血方式对患者术后并发症、卵巢功能的影响[J].中国妇幼保健,2019,34(9):2084-2086.
|
[9] |
孙成艳.对腹腔镜微创手术治疗良性卵巢囊肿的临床疗效分析[J].中华肿瘤防治杂志,2020,27(S1):137-138.
|
[10] |
林珊娜,谢秋娴,图雅.不同注射部位对垂体后叶素在腹腔镜下卵巢巧克力囊肿剥除术中的应用效果分析[J].中国处方药,2020,18(11):115-116.
|
[11] |
周玲,马忠平,王艳.垂体后叶素水分离法对腹腔镜下卵巢囊肿剥除术患者凝血功能及血清LH、FSH、E2水平的影响[J].现代医学与健康研究(电子版),2020,4(16):7-10.
|
[12] |
黄昌萍,韩克.卵巢子宫内膜异位囊肿剥除术后血清AMH、雌二醇和窦卵泡数水平与子宫内膜容受性相关性研究[J].东南国防医药,2020,22(5):501-504.
|
[13] |
丁芳,周靖,易晓芳.血清瘦素,脂联素,抵抗素与多囊卵巢综合征的相关研究[J].中国临床研究,2019,32(8):1087-1090.
|
[14] |
梁琳,陈秀娟.观察体外受精中卵泡液的抗氧化能力及其对卵母细胞质量和胚胎发育的影响[J].生殖医学杂志,2015,24(7):532-537.
|
[15] |
汪玲玲,陈一喆,戴蜜蜜,等.腹腔镜下卵巢巧克力囊肿剥除术中应用垂体后叶素水分离法的效果观察及对卵巢功能的影响[J].中国基层医药,2019,26(24):2965-2968.
|
|
|
|