Department of Pathology, School of Medicine, Catholic University of Daegu, Daegu, Korea.
Int J Gynaecol Obstet. 2011 Aug;114(2):128-32. doi: 10.1016/j.ijgo.2011.02.011. Epub 2011 Jun 17.
To identify the risk factors associated with inadvertent follicular loss during laparoscopic cystectomy for endometrioma.
Between April 2008 and April 2010, 114 patients who underwent laparoscopic cystectomy for endometrioma were enrolled in the study. Clinical data were collected, together with a retrospective review of medical records. Ovarian follicular loss and the thickness of the cystic wall removed were evaluated by pathologic slide review.
Ovarian follicular loss was more frequently observed among younger patients (P < 0.001) and those with stage 3 endometriosis than among those with stage 4 (P = 0.027), in addition to having an inverse correlation with age (P < 0.001). The thickness of the removed ovarian tissue correlated with inadvertent follicular loss (P < 0.001); however, there was no correlation between any clinical parameter tested and the thickness of the removed ovarian tissue. There was a correlation between ovarian follicular loss and the thickness of the removed ovarian tissue among patients younger than 40 years (P < 0.001), but not among patients aged 40 years or older (P = 0.123).
Ovarian follicular loss was more common among younger patients and patients with lower-stage endometriosis. The thickness of the removed ovarian tissue did not differ among patients, despite varying clinical factors.
确定与卵巢子宫内膜异位囊肿剔除术中意外卵泡丢失相关的风险因素。
本研究纳入了 2008 年 4 月至 2010 年 4 月期间接受腹腔镜囊肿剔除术治疗子宫内膜异位症的 114 例患者。收集临床资料并回顾病历。通过病理切片评估卵巢卵泡丢失和切除的囊壁厚度。
年轻患者（P < 0.001）和 3 期子宫内膜异位症患者（P = 0.027）较 4 期患者更常发生卵巢卵泡丢失，且与年龄呈负相关（P < 0.001）。切除的卵巢组织厚度与意外卵泡丢失呈正相关（P < 0.001）；然而，所测试的任何临床参数与切除的卵巢组织厚度之间均无相关性。在<40 岁的患者中，卵巢卵泡丢失与切除的卵巢组织厚度之间存在相关性（P < 0.001），但在≥40 岁的患者中无相关性（P = 0.123）。
年轻患者和低分期子宫内膜异位症患者更常发生卵巢卵泡丢失。尽管临床因素不同，但切除的卵巢组织厚度在患者之间没有差异。
