腹腔镜卵巢囊肿除术对卵巢e2、fsh、lh激素水平的影响.pdfVIP

摘 要 腹腔镜卵巢囊肿剥除术对卵巢E2、 FSH、LH激素水平的影响 研究生：郭淼 导师：刘开江副教授 摘 要 目的：研究腹腔镜在良性卵巢囊肿剥除术后对卵巢E2、FSH、LH激素水平的近期 影响。方法：回顾性分析了2007年3月至2008年8月在新疆肿瘤医院妇外一科行腹腔 镜良性卵巢囊肿剥除术及乌鲁木齐县医院妇科经腹行卵巢囊肿剥除术患者的资料， 所有患者分别于术前、术后1月、术后3个月后第一次月经的2-3天抽血测定17β－雌 二醇（E2）、促卵泡激素（FSH）、促黄体生成素（LH）的水平，并进行术后随访。结 果：两组病例在术后1月均出现E2下降及FSH、LH增高，分别与术前比较差异有显著 意义(P0．05)，但两组之间FSH、LH、E2比较无差异(P0、05)。术后3月各种激素 水平与术前比较无显著差异(P0．05)， 术后三个月以腹腔镜组导致月经异常的较 对照开腹组例数多，但两组间比较无显著差异(P0．05)。结论：腹腔镜卵巢囊肿剥 除术不影响近期卵巢激素水平，手术安全、可靠，且并发症少，可作为术前诊断为 良性卵巢囊肿的首选方式。 关键词：腹腔镜;卵巢囊肿;激素 1 新疆医科大学医学硕士学位论文 A study of the influence on the hormone of E2 、FSH 、 LH after laparoscopic ovarian cyst surgery Postgraduate ：Guo miao Tutor：Liu kajiang Abstract Objective: A study of the influence on the hormone after laparoscopic benign ovarian cyst surgery.Methods: Retrospective analysis patients of benign ovarian cyst operated on laparoscopic surgery from March,2007 toAugust,2008. The levels of FSH、LH、E2 were detected respectively before the operations and at 1m after the perations，and on the day 2 or 3 of the first menstrual cycle after 3 months operation．All patients were followed up for 3m.Results: At 1m postoperatively,the levels of E2 declined and that of FSH、LH increased in all groups，compared with those before operations respectively,and these differences were statistically significant(P0.05),but there was no difference among two groups(P0.05).The postoperative hormone level at 3m has no difference compared with those before the operations(P0.05) ．The laparoscopic group had more menstruation abnormality，however，the ratio has no difference amon