比较腹腔镜与剖腹手术中患者因卵巢子宫内膜异位囊肿和其他良性卵巢囊肿而意外切除的卵巢组织的组织病理学发现。
A comparison of histopathologic findings of ovarian tissue inadvertently excised with endometrioma and other kinds of benign ovarian cyst in patients undergoing laparoscopy versus laparotomy.
机构信息
Division of Infertility and Gynecologic Endoscopy, Department of Obstetrics and Gynecology, Shiraz University of Medical Sciences, Shiraz, Iran.
出版信息
Fertil Steril. 2009 Dec;92(6):2004-7. doi: 10.1016/j.fertnstert.2008.09.014. Epub 2008 Oct 29.
OBJECTIVE
To evaluate ovarian tissue inadvertently excised with benign cysts during laparotomy or laparoscopy.
DESIGN
Prospective study.
SETTING
Private and university hospitals.
PATIENT(S): 260 women, 20 to 35 years old, with unilateral benign ovarian cysts.
INTERVENTION(S): One hundred fifty women operated by laparoscopic cystectomy stripping technique, and 110 women operated by laparotomy with the same technique.
MAIN OUTCOME MEASURE(S): Histopathologic findings of ovarian tissue inadvertently excised in endometrioma compared with other kinds of benign cysts in laparoscopy versus laparotomy.
RESULT(S): In the laparoscopy group, ovarian tissue was present in 65% of endometrioma and in 32% of nonendometriotic cysts. In the laparotomy group, ovarian tissue was seen in 80% of endometrioma and 41% of nonendometriotic cysts.
CONCLUSION(S): The surgical approach had no statistically significant impact on conservation of ovarian reserves. The nature of the ovarian cyst played a greater role in the quality and quantity of the excised ovarian tissue.
目的
评估在剖腹手术或腹腔镜检查中意外切除的良性囊肿中的卵巢组织。
设计
前瞻性研究。
地点
私人医院和大学医院。
患者
260 名年龄在 20 至 35 岁之间、单侧良性卵巢囊肿的女性。
干预措施
150 名女性接受腹腔镜下囊肿切除术剥离技术治疗，110 名女性接受剖腹手术并采用相同技术。
主要观察指标
与腹腔镜下其他类型的良性囊肿相比，卵巢组织在子宫内膜异位症囊肿中的组织病理学发现。
结果
在腹腔镜组中，卵巢组织存在于 65%的子宫内膜异位症囊肿和 32%的非子宫内膜异位性囊肿中。在剖腹手术组中，卵巢组织存在于 80%的子宫内膜异位症囊肿和 41%的非子宫内膜异位性囊肿中。
结论
手术方法对卵巢储备的保护没有统计学上的显著影响。卵巢囊肿的性质对切除卵巢组织的质量和数量起着更大的作用。
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