腹腔镜卵巢巧克力囊肿剔除术中不同止血方式对卵巢功能的影响
发布时间：2019-02-18 20:49
【摘要】：目的探讨腹腔镜下卵巢巧克力囊肿剔除术中电凝、缝合和压迫3种不同止血方式对术后卵巢功能的影响,为临床决策提供依据。方法将120例卵巢巧克力囊肿患者随机分为电凝组、缝合组和压迫组,在腹腔镜下卵巢巧克力囊肿剔除术中分别行电凝、缝合和压迫止血。所有患者术前及术后1、6个月于月经期第2~3天空腹抽取肘静脉血,测定血清卵泡刺激素(FSH)、黄体生成素(LH)和雌二醇(E2);采血当天采用阴道多普勒超声检测双侧卵巢动脉血流的收缩期峰值(PSV)并测定窦状卵泡数目(F0)。结果电凝组术后1、6个月时的血清E2、PSV、F0低于术前(P均0.05),血清FSH高于术前(P0.05);缝合组术后1、6个月时的PSV、F0低于术前(P均0.05),术后6个月时的FSH高于术前(P0.05);压迫组术后1、6个月时的PSV、F0低于术前(P均0.05)。缝合组、压迫组术后1个月时的PSV及术后6个月时的FSH、E2、PSV、F0与电凝组相比,P均0.05;压迫组术后1个月时的PSV及术后6个月时的E2与缝合组相比,P均0.05。结论腹腔镜下卵巢巧克力囊肿剔除术患者卵巢储备功能下降;血清基础FSH、LH、E2、窦卵泡数及卵巢基质血管收缩期PSV能较好反映卵巢的储备功能;与电凝止血法相比,术中缝合止血法和压迫止血法可更好地保护卵巢功能。
[Abstract]:Objective to investigate the effects of three different hemostatic methods, such as electrocoagulation, suture and compression, on ovarian function during laparoscopic ovarian chocolate cyst removal, and to provide evidence for clinical decision making. Methods 120 patients with ovarian chocolate cyst were randomly divided into three groups: electrocoagulation group, suture group and compression group. The venous blood samples were taken from all patients before and 1, 6 months after menstruation on the 2nd day of menstrual period. Serum follicle stimulating hormone (FSH), luteinizing hormone (LH) and estradiol (E _ 2) were measured. The systolic peak (PSV) of bilateral ovarian artery blood flow and the number of antral follicles (F0) were measured by vagina Doppler ultrasound on the day of blood collection. Results at 1 and 6 months after operation, the serum E2P PSV F0 was lower and the serum FSH was higher in the electrocoagulation group than before (P0.05). The PSV,F0 of the suture group was lower at 1 and 6 months after operation than that before operation (P 0.05), and the FSH at 6 months after operation was higher than that before operation (P0.05), and the PSV,F0 of compression group at 1 and 6 months after operation was lower than that before operation (P 0.05). In the suture group, the PSV at 1 month after operation and the FSH,E2,PSV,F0 at 6 months after operation in the compression group were significantly higher than those in the electrocoagulation group (P 0.05), while the PSV in the compression group at 1 month after operation and E2 at 6 months after operation were significantly higher than those in the suture group (P 0.05). Conclusion the ovarian reserve function of patients undergoing ovarian chocolate cyst removal under laparoscope is decreased, the number of basic FSH,LH,E2, antral follicles in serum and PSV in ovarian stromal vasoconstriction can better reflect the reserve function of ovary. Compared with electrocoagulation hemostasis, suture hemostasis and compression hemostasis can better protect ovarian function.
【学位授予单位】：安徽医科大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R713.6
本文编号：2426191
[Abstract]:Objective to investigate the effects of three different hemostatic methods, such as electrocoagulation, suture and compression, on ovarian function during laparoscopic ovarian chocolate cyst removal, and to provide evidence for clinical decision making. Methods 120 patients with ovarian chocolate cyst were randomly divided into three groups: electrocoagulation group, suture group and compression group. The venous blood samples were taken from all patients before and 1, 6 months after menstruation on the 2nd day of menstrual period. Serum follicle stimulating hormone (FSH), luteinizing hormone (LH) and estradiol (E _ 2) were measured. The systolic peak (PSV) of bilateral ovarian artery blood flow and the number of antral follicles (F0) were measured by vagina Doppler ultrasound on the day of blood collection. Results at 1 and 6 months after operation, the serum E2P PSV F0 was lower and the serum FSH was higher in the electrocoagulation group than before (P0.05). The PSV,F0 of the suture group was lower at 1 and 6 months after operation than that before operation (P 0.05), and the FSH at 6 months after operation was higher than that before operation (P0.05), and the PSV,F0 of compression group at 1 and 6 months after operation was lower than that before operation (P 0.05). In the suture group, the PSV at 1 month after operation and the FSH,E2,PSV,F0 at 6 months after operation in the compression group were significantly higher than those in the electrocoagulation group (P 0.05), while the PSV in the compression group at 1 month after operation and E2 at 6 months after operation were significantly higher than those in the suture group (P 0.05). Conclusion the ovarian reserve function of patients undergoing ovarian chocolate cyst removal under laparoscope is decreased, the number of basic FSH,LH,E2, antral follicles in serum and PSV in ovarian stromal vasoconstriction can better reflect the reserve function of ovary. Compared with electrocoagulation hemostasis, suture hemostasis and compression hemostasis can better protect ovarian function.
【学位授予单位】：安徽医科大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R713.6
【参考文献】
相关期刊论文 前1条
1 杨冰;何丽霞;佘远萍;陈辉;;腹腔镜卵巢内异症囊肿剥除术囊内多点缝合止血法的应用价值[J];华夏医学;2013年03期
，本文编号：2426191
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