腹腔镜下卵巢囊肿剥除术后创面处理方法对残留卵巢储备功能的影响

发布时间：2019-03-22 08:03

【摘要】：目的探讨应用不同方法处理腹腔镜下卵巢囊肿剥除术后创面对残留卵巢功能的影响。方法选取新疆生产建设兵团医院妇科收治的120例卵巢囊肿患者,行腹腔镜下剥除术。依对创面给予的相应止血治疗方法随机分为3组:电凝组、超声组与缝合组,每组各40例。检测3组患者术前、术后即时、术后3个月、术后6个月时月经第2天外周静脉血中促卵泡素(FSH)、黄体生成素(LH)、雌二醇(E2)水平,并行经阴道超声测定双侧卵巢储备卵泡数量。同时记录患者术后相应时间月经变化及临床表现。结果术后电凝组患者FSH、LH、E2水平变化最为明显,超声组患者次之,缝合组患者变化最小且恢复最快(P0.05)。电凝组患者术后储备卵泡数量减少最明显,且不良反应发生率较高。结论对腹腔镜下卵巢囊肿剥除术后的创面,应用电凝止血对残留卵巢功能影响最大,超声止血与缝合止血对其功能保护较好。
[Abstract]:Objective to investigate the effect of different methods on residual ovarian function after laparoscopic ovarian cyst exfoliation. Methods 120 cases of ovarian cyst were treated by laparoscopy in the gynecological department of Xinjiang production and Construction Corps Hospital. The wounds were randomly divided into three groups: electrocoagulation group, ultrasound group and suture group, with 40 cases in each group. The levels of follicle stimulating hormone (FSH), luteinizing hormone (LH), estradiol (E2) in peripheral venous blood were measured before, immediately after operation, 3 months after operation and 6 months after menstruation in three groups, and the levels of follicle stimulating hormone and luteinizing hormone (LH), in peripheral venous blood were measured on the 2nd day after menstruation. The number of bilateral ovarian reserve follicles was measured by transvaginal ultrasound. At the same time, the changes of menstruation and clinical manifestations were recorded at the corresponding time after operation. Results the change of FSH,LH,E2 level was the most obvious in the electrocoagulation group, the second in the ultrasonic group, and the smallest and the fastest in the suture group (P0.05). In the electrocoagulation group, the number of reserve follicles decreased most obviously, and the incidence of adverse reactions was higher. Conclusion for the wounds after laparoscopic ovarian cyst exfoliation, electrocoagulation has the greatest effect on residual ovarian function. Ultrasonic hemostasis and suture hemostasis have better protection on the residual ovarian function.
【作者单位】：新疆生产建设兵团医院(石河子大学第二附属医院)妇产科;新疆乌鲁木齐民族干部学院门诊部;
【分类号】：R737.31

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