Influence on the ovarian reserved function of Gn-RH injection in the bilateral laparoscopic cystectomy
10.11659/jjssx.11E014029
- VernacularTitle:卵巢子宫内膜异位囊肿剥除术中使用垂体后叶素注射对卵巢储备功能的影响
- Author:
Zhiqiang YAN
;
Chunling YU
;
Peihui MO
;
Mei TANG
- Publication Type:Journal Article
- Keywords:
bilateral laparoscopic cystectomy;
Gn-RH injection;
ovarian reserved function
- From:
Journal of Regional Anatomy and Operative Surgery
2015;(4):437-439
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the influence on the ovarian reserved function of Gn-RH injection in the bilateral laparoscopic cys-tectomy. Methods The clinical data of 100 patients with endometriosis undergoing bilateral laparoscopic cystectomy were included in this study. 50 patients treated by routine bilateral laparoscopic cystectomy were set as control group. 50 patients treated by Gn-RH injection addi-tionally during the surgery were set as study group. The operative situation,serum FSH level,FSH/LH,E2 level,ovarian reserved function, pregnancy situation and recurrent rate were compared between two groups. Results The operative duration and electrocautery times in study group was significantly less than those in control group(P<0. 01). The residual ovarian tissue capsule wall thickness in study group was sig-nificantly more than that in control group(P<0. 01). At different time points,the serum FSH level,FSH/LH and E2 level in study group were significantly less than those in control group(P<0. 01,P<0. 05). The incidence of ovarian reserved function damage in study group was significantly less than those in control group(P<0. 05). The pregnancy rate was significantly higher and the time between surgery and pregnancy was significantly shorter in study group than those in control group(P<0. 05,P<0. 01). The recurrent rate in study group was sig-nificantly less than those in control group(P<0. 01). Conclusion There is a influence on ovarian reserved function of bilateral laparoscopic cystectomy. By inject Gn-RH during surgery,the ovarian reserved function could be protected,which increase the pregnancy rate and reduce recurrence.
