机器人外科学杂志（中英文）2025，Vol.6Issue(10)：1675-1679,5.DOI:10.12180/j.issn.2096-7721.2025.10.009
机器人辅助腹腔镜下卵巢子宫内膜异位囊肿切除术对患者术后激素水平及生育能力的影响
Effects of robot-assisted laparoscopic ovarian endometriotic cystectomy on postoperative hormone levels and fertility
摘要
Abstract
Objective:To compare the effects of robot-assisted versus conventional laparoscopic ovarian endometriotic cyst(OEMC)resect ion on postoperative serum anti-Müllerian hormone(AMH)levels and fertility in patients.Methods:A prospective study was conducted on 92 OEMC patients who were treated at our hospital from July 2020 to July 2024.They were randomly divided into the study group(n=46,undergoing robot-assisted laparoscopic OEMC resection)and the control group(n=46,undergoing conventional laparoscopic O EMC resection).Differences in serum AMH,sex hormone levels,and fertility were compared between the two groups.Results:At 1 and 3 months after surgery,AMH levels in both groups decreased significantly compared to those before surgery(P<0.05),but they were higher in the study group than the control group(P<0.05).Compared to preoperative levels,both groups showed increased follicle-stimulating hormone(FSH)and luteinizing hormone(LH),and decreased estradiol(E2)at 3 months after surgery(P<0.05),but the changes in FSH,LH,and E2 were less pronounced in the study group(P<0.05).At 3 months after surgery,both groups showed reduced follicle count and ovarian volume compared to that before surgery(P<0.05),but the differences between the two groups were not statistically significant(P>0.05).Conclusion:Robot-assisted laparoscopic ovarian endometriotic cystectomy has favorable therapeutic outcomes,which can effectively promote ovarian function recovery,improve serum AMH levels,and preserve fertility.关键词
卵巢子宫内膜异位囊肿/腹腔镜手术/机器人辅助手术/抗苗勒管激素/生育能力Key words
Ovarian Endometriosis Cyst/Laparoscopic Surgery/Robot-assisted Surgery/Anti-Müllerian Hormone/Fertility分类
医药卫生引用本文复制引用
高影,韩月,韩燕妮,梁新新..机器人辅助腹腔镜下卵巢子宫内膜异位囊肿切除术对患者术后激素水平及生育能力的影响[J].机器人外科学杂志（中英文）,2025,6(10):1675-1679,5.基金项目
国家自然科学基金(H1621)National Natural Science Foundation of China(H1621) （H1621）
