腹腔镜引导的小切口开腹术

该研究的目的是评估一种治疗大型良性卵巢囊肿的新技术的效率和安全性，该技术结合了腹腔镜管理和不影响卵巢储备的小型剖腹手术的好处。

该研究包括 112 名患有大的良性卵巢囊肿的女性，她们是卵巢囊肿切除术的候选者。 该技术从腹腔镜检查开始，然后引导囊肿抽吸，然后通过微型剖腹手术将卵巢外化，并通过显微外科技术完成膀胱切除术。 主要结果是囊肿的同侧复发。 其他结果包括卵巢储备评估和术后疼痛。

12、18、24个月后同侧卵巢复发的女性人数分别为5人（4.5%）、16人（14.3%）、20人（17.85%）。 卵巢储备评估显示，在的卵巢囊肿手术治疗新技术后，血清 AMH 水平显著降低（2.82 ± 0.44 vs. 2.50 ± 0.42）和 AFC 显著增加（3.5 ± 1.7 vs. 4.9 ± 1.3） (P值&#10217;< 0.001)。 单侧和双侧囊肿的手术时间分别为50±7和62±7分钟。

腹腔镜引导下的小切口开腹手术是一种安全有效的治疗大型良性卵巢囊肿的技术，复发率极低，卵巢储备功能受到影响和粘连。


囊肿挤压、显微囊肿切除术和卵巢闭合术

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