腹腔镜卵巢囊肿剔除术中应用不同止血方法对卵巢功能的影响

发布时间：2019-03-10 21:54

【摘要】：目的探讨在行腹腔镜卵巢囊肿剔除术中应用不同的止血方法对卵巢功能的影响。方法选取2010年6月~2013年6月行腹腔镜卵巢囊肿剔除术90例,根据医生意愿分为双极电凝组、单极电凝组以及缝合组各30例,比较3组术后1、6个月卵泡刺激素(FSH)、黄体生成素(LH)、雌二醇(E2)。结果 1 3组均随访满1年,单极电凝组月经紊乱发生率为33.3%(10/30),明显高于双极电凝组[10.0%(3/30),χ2=4.812,P=0.028]及缝合组[6.7%(2/30),χ2=6.667,P=0.010],双极电凝组与缝合组比较则无统计学差异(χ2=0.000,P=1.000)。2 3组术前、术后1个月FSH、LH、E2差异均无统计学意义(P0.05);术后6个月,双极电凝组FSH、LH、E2与缝合组比较差异均无统计学意义(P0.05),单极电凝组FSH[(10.43±2.04)U/L]及LH[(18.58±3.82)U/L]水平明显高于双极电凝组[(8.12±1.82)U/L,(13.31±2.53)U/L](P0.05)和缝合组[(7.08±1.68)U/L,(12.61±2.68)U/L](P0.05),而E2[(252.5±26.9)pmol/L]明显低于双极电凝组[(321.3±28.2)pmol/L](P0.05)和缝合组[(313.7±31.4)pmol/L](P0.05)。结论在腹腔镜卵巢囊肿剔除术中应用双极电凝止血相对单极电凝止血安全,值得临床推广应用。
[Abstract]:Objective to investigate the effect of different hemostatic methods on ovarian function in laparoscopic ovarian cyst removal. Methods from June 2010 to June 2013, 90 cases of laparoscopic ovarian cyst removal were divided into bipolar electrocoagulation group (n = 30), unipolar electrocoagulation group (n = 30) and suture group (n = 30). Follicle-stimulating hormone (FSH),) was compared between three groups at 1 and 6 months after operation. Luteinizing hormone (LH), estradiol (E2). Results the incidence of menstrual disorder in monopole electrocoagulation group was 33.3% (10 / 30), which was significantly higher than that in bipolar electrocoagulation group [10.0% (3 / 30), 蠂 2 / 4.812, P < 0.01], and the incidence of menstrual disorder in unipolar electrocoagulation group was significantly higher than that in bipolar electrocoagulation group (P < 0.01). There was no significant difference between the bipolar electrocoagulation group and the suture group [6.7% (2 / 30), 蠂 2 / 6.667, P = 0.010]. There was no significant difference between the bipolar electrocoagulation group and the suture group (蠂 2 / 0.000, P = 1.000). The FSH,LH, of the 23 group before operation and one month after operation was not significantly different (蠂 2 / 0.000, P < 0.05). There was no significant difference in E2 (P0.05). At 6 months after operation, there was no significant difference in FSH,LH,E2 between bipolar electrocoagulation group and suture group (P0.05). The levels of FSH [(10.43 卤2.04) U / L] and LH [(18.58 卤3.82) U / L] in unipolar electrocoagulation group were significantly higher than those in bipolar electrocoagulation group [(8.12 卤1.82) U / L]. (13.31 卤2.53) U / L] (P0.05) and suture group [(7.08 卤1.68) U / L, (12.61 卤2.68) U / L] (P0.05). E2 [(252.5 卤26.9) pmol/L] was significantly lower than that of bipolar electrocoagulation group [(321.3 卤28.2) pmol/L] (P0.05) and suture group [(313.7 卤31.4) pmol/L] (P0.05). Conclusion Bipolar electrocoagulation is safer than monopole electrocoagulation in laparoscopic ovarian cyst removal, which is worthy of clinical application.
【作者单位】：浙江省富阳市第二人民医院妇产科;
【分类号】：R737.31

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