Effectiveness of Laparoscopic Ovarian Cyst Excision in the Treatment of Ovarian Cysts and its Effect on Ovarian Function
Objective:To investigate the effect of applying laparoscopic ovarian cyst debridement in the treatment of patients with ovarian cysts and the effect on ovarian function.Methods:130 patients with ovarian cysts who were treated with ovarian cyst debulking surgery in the hospital from May 2020 to December 2021 were selected as the study subjects,and the patients were divided into the control group(n=65,treated with traditional open surgery)and the observation group(n=65,treated with surgery based on laparoscopy)according to the differences in surgical methods.Clinical indexes(intraoperative blood loss,duration of surgery,postoperative time to get out of bed and total length of hospitalization)were counted in both groups.Patients in both groups were followed up for 6 months,and the ovarian stromal blood flow[peak systolic velocity(PSV),diastolic minimum flow velocity(EDV)]was observed preoperatively and 6 months postoperatively,and the levels of laboratory indexes[follicle-stimulating hormone(FSH),luteinizing hormone(LH),and estrogen(E2)]were detected in both groups.Results:Intraoperative blood loss,duration of surgery,postoperative time out of bed,and total length of hospitalization were significantly lower in the observation group compared with the control group,and the differences were statistically significant(t=9.648,5.834,8.635,5.347;P＜0.05).At 6 months after surgery,both groups of patients showed significant changes in PSV and EDV compared with the preoperative period,with smaller changes in the observation group compared with the control group,and the difference was statistically significant(t= 4.789,7.971;P＜0.05).6 months after operation,FSH,LH,E2 in both groups showed significant changes compared with the preoperative period,and the changes in the observation group were smaller than those in the control group,and the difference was statistically significant(t=6.632,4.186,2.065;P＜0.05).Conclusion:Laparoscopic ovarian cyst removal has the advantages of less trauma and quicker postoperative recovery than traditional open surgery,and causes less damage to the patients'ovarian stromal blood flow,which helps to restore the ovarian reserve function.
万方数据
维普
