安徽医药AnhuiMedicalandPharmaceuticalJournal2023Feb,27(2)腹腔镜卵巢子宫内膜异位囊肿剥除术对卵巢储备功能和生育影响的研究进展王丹凤,杨君,卢深涛作者单位:重庆医科大学附属妇女儿童医院(重庆市妇幼保健院)妇产科,重庆401120通信作者:杨君,女,主任医师,研究方向为妇科肿瘤的诊断及治疗,Email:yonger20120817@126.com基金项目:重庆市渝中区基础研究与前沿探索项目(20200147)摘要:腹腔镜手术是卵巢子宫内膜异位囊肿诊断的“金标准”和首选治疗方式,但越来越多的研究发现术后病人的卵巢储备功能有不同程度的损伤,生育能力可能受到潜在的影响。因此,该文就腹腔镜卵巢子宫内膜异位囊肿剥除术对病人的卵巢储备功能和生育的影响研究进展作一综述,为探讨如何保护病人的卵巢储备功能,提高生育能力,改善临床预后提供依据。关键词:子宫内膜异位症;腹腔镜检查;卵巢子宫内膜异位囊肿;卵巢储备功能;生育ResearchprogressontheeffectoflaparoscopicovarianendometrioticcystdebulkingonovarianreservefunctionandfertilityWANGDanfeng,YANGJun,LUShentaoAuthorAffiliation:DepartmentofObstetricsandGynecology,WomenandChildren'sHospitalofChongqingMedicalUniversity(ChongqingHealthCenterforWomenandChildren),Chongqing401120,ChinaAbstract:Laparoscopicsurgeryisthe"goldstandard"forthediagnosisandpreferredtreatmentofovarianendometrioticcysts;how‐ever,anincreasingnumberofstudieshaveindicatedthatpostoperativeovarianreservefunctioninpatientsisdamagedtodifferentde‐greesandfertilitymaybepotentiallyaffected.Therefore,thispaperreviewstheresearchprogressontheeffectoflaparoscopicovarianendometrioticcystdebulkingonovarianreservefunctionandfertilityofpatientsandprovidesabasisforexploringhowtoprotectovari‐anreservefunction,improvefertility,andimproveclinicalprognosis.Keywords:Endometriosis;Laparoscopy;Ovarianendometrioticcyst;Ovarianreservefunction;Fertility卵巢子宫内膜异位囊肿(ovarianendometrioticcyst,OEMC)是卵巢常见的良性肿瘤之一,好发于育龄期妇女,其发病率约10%~15%[1],占盆腔子宫内膜异位症的17%~44%[2],其临床症状主要有慢性盆腔痛、性交不适、月经不规律、不孕等,严重影响病人的生理及心理健康[3]。腹腔镜OEMC剥除术既能明确诊断,还能解...