腹腔镜下卵巢囊肿剥除术后缝合与电凝止血对卵巢功能的影响

发布时间：2018-04-11 15:01

本文选题：腹腔镜 + 卵巢囊肿剥除术　；参考：《现代生物医学进展》2016年30期

【摘要】：目的:探究腹腔镜下卵巢囊肿剥除术后缝合与电凝止血对卵巢功能的影响。方法:选择2014年5月~2015年12月期间我院收治卵巢囊肿患者78例为研究对象,两组患者均行腹腔镜下卵巢囊肿剥除术,根据患者术中止血方式的不同将其分为观察组(41例)和对照组(37例);观察组术中采用双极电凝止血,对照组患者性术中采用缝合止血;观察并比较术后4周、12周两组患者促卵泡生长激素(FSH)、促黄体激素(LH)、雌二醇(E2)及窦状卵泡计数(Shape of sinus follicle count,AFC),对比两组术后12周卵巢功能恢复情况。结果:术后4周两组患者FSH、LH水平较术前升高,E2及AFC水平较术前降低,差异均有统计学意义(P0.05);术后12周对照组FSH、LH、E2及AFC水平与术前比较,差异无统计学意义(P0.05),观察组患者FSH、LH水平较术前升高,E2及AFC水平较术前降低,且观察组患者FSH、LH水平高于对照组,E2及AFC水平低于对照组,差异均有统计学意义(P0.05);术后12周,观察组患者出现排卵异常、经量过少及经期延长的发生率均高于对照组(P0.05)。结论:缝合止血在腹腔镜下卵巢囊肿剥除术止血对患者卵巢功能的损伤作用小于电凝止血,术后卵巢功能恢复快,临床上应当优选缝合止血,降低对卵巢功能的影响。
[Abstract]:Objective: to investigate the effect of suture and electrocoagulation on ovarian function after laparoscopic ovarian cyst excision.Methods: 78 patients with ovarian cyst were selected from May 2014 to December 2015 in our hospital. The two groups were treated with laparoscopic exfoliation of ovarian cyst.According to the difference of hemostasis, the patients were divided into observation group (n = 41) and control group (n = 37).The follicle growth hormone (FSH), luteinizing hormone (LHH), estradiol (E 2) and antral follicle count (shape of sinus follicle count AFCU) were observed and compared between the two groups at 4 and 12 weeks after operation.Results: at 4 weeks after operation, the levels of FSH LH and FSH LH in the two groups were significantly lower than those in the preoperative group, and the levels of FSH LHN E2 and AFC in the control group at 12 weeks after operation were significantly lower than those before the operation, and the levels of FSH LHN E2 and AFC in the control group were compared with those before the operation.There was no significant difference between the two groups (P 0.05). The levels of AFC and E 2 in the observation group were lower than those in the control group, and the levels of E 2 and AFC in the observation group were higher than those in the control group, and there were significant differences between the two groups (P 0.05), 12 weeks after the operation, there was no significant difference between the two groups.The incidence of abnormal ovulation in the observation group was higher than that in the control group.Conclusion: the effect of suture hemostasis on ovarian function in laparoscopic excision of ovarian cyst is less than that of electrocoagulation, and the recovery of ovarian function is faster after operation, so we should select suture to stop bleeding clinically and reduce the influence on ovarian function.
【作者单位】：解放军第309医院妇产科;解放军第316医院妇产科;
【分类号】：R713.6

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