Obstetrics & Gynecology Departments, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
J Ovarian Res. 2013 Nov 2;6(1):76. doi: 10.1186/1757-2215-6-76.
To compare the long term impact on ovarian reserve between laparoscopic ovarian cystectomy with bipolar electrocoagulation and laparotomic cystectomy with suturing for ovarian endometrotic cyst.
PATIENT AND METHOD(S): 121 patients with benign ovarian endometroitic cysts were randomised to either laparoscopic ovarian cystectomy using bipolar electrocoagulation (61 patients) or laparotomic ovarian cystectomy using sutures (60 patients). Serum follicle-stimulating hormone, Antimullerian hormon, Basal antral follicle Count, mean ovarian diameter, and ovarian stromal blood flow velocity were measured at 6, 12 and 18 months after surgery and compared in both groups.
RESULT(S): A statistically significant increase of serum FSH was found in the laproscopic bipolar group at 6-, 12 and 18-month postoperativly compared to open laparotomy suture group. Also, a statistically significant decrease of the mean AMH value occurred in laproscopic bipolar group at 6-, 12 and 18-month follow- up compared to open laparotomy suture group. Basal antral follicle number, mean ovarian diameter and peak systolic velocity were significantly decreased during the 6-, 12,18 -month follow-up in laproscopic bipolar group compared to open laparotomy suture group.
CONCLUSION(S): After laproscopic ovarian cystecomy for endometrioma all pareameter of ovarian reseve are significantly decreased on long term follow up as compared to open laprotomy.
比较腹腔镜卵巢囊肿切除术与开腹卵巢囊肿切除术治疗卵巢子宫内膜异位囊肿对卵巢储备功能的长期影响。
将 121 例良性卵巢子宫内膜异位囊肿患者随机分为腹腔镜卵巢囊肿切除术（61 例）和开腹卵巢囊肿切除术（60 例）。术后 6、12 和 18 个月测量血清卵泡刺激素、抗苗勒管激素、基础窦卵泡计数、卵巢平均直径和卵巢间质血流速度，并比较两组。
与开腹组相比，腹腔镜组术后 6、12 和 18 个月血清 FSH 水平明显升高，腹腔镜组术后 6、12 和 18 个月平均 AMH 值明显下降。腹腔镜组术后 6、12、18 个月基础窦卵泡数、卵巢平均直径和收缩期峰值血流速度均明显下降。
与开腹手术相比，腹腔镜卵巢囊肿切除术治疗卵巢子宫内膜异位囊肿后，长期随访时卵巢储备功能的所有参数均明显下降。
