首页> 中文期刊> 《中国继续医学教育》 >应用不同止血方式对腹腔镜卵巢囊肿剥除术后卵巢功能的影响

应用不同止血方式对腹腔镜卵巢囊肿剥除术后卵巢功能的影响

         

摘要

Objective Analysis different hemostasis methods on ovarian function after laparoscopic ovarian cystectomy.Methods Selected 52 patients underwent laparoscopic ovarian in our hospital who were then randomly divided into coagulation groups and suture group, each of 26 cases, observed fasting blood test estradiol (E2), luteinizing hormone (LH), follicle stimulating hormone (FSH), progesterone (P) levels and transvaginal B-observation ovarian size, antral follicle count (AFC) before surgery, the ifrst and sixth postoperative day menstrual cramps, to compare postoperative recovery of ovarian function.Results After the 1st and 6th menstrual cramps decreased coagulation group E2 and FSH rises were signiifcantly higher than the suture group (P<0.05), LH and P levels before and after surgery showed no signiifcant difference (P>0.05), AFC before and after surgery in coagulation group differences were statistically significant (P<0.05), but suture group difference was not statistically significant (P>0.05). ConclusionCoagulation method because of its particularity, in the application process will damage the ovary cells, affect ovarian function after surgery, it should be used as little as possible during surgery, and use more precise suture bleeding, in order to maximize retain ovarian function.%目的:探讨应用不同的止血方式对腹腔镜下单侧或双侧卵巢囊肿剥除术后卵巢功能的影响。方法选取于我院妇产科行腹腔镜下卵巢囊肿剥除术的患者52例,随机分为电凝组和缝合组,各26例;于术前、术后第1次月经来潮和第6次月经第2天空腹抽血测雌二醇(E2)、黄体生成素(LH)、卵泡刺激素(FSH)、孕酮(P)水平,并经阴道B超探测卵巢大小、窦状卵泡数(AFC),观察比较术后卵巢功能的恢复情况。结果术后第1次和第6次月经来潮电凝组E2下降和FSH升高均显著高于缝合组(P<0.05),LH和P水平术前后差异无统计学意义(P>0.05);而术前后AFC电凝组差异有统计学意义(P<0.05),缝合组差异无统计学意义(P>0.05)。结论电凝止血法由于其特殊性,在应用过程中会损伤卵巢细胞,影响术后卵巢的功能,应在术中尽量少用,多采用缝合法确切止血,以最大限度保留卵巢功能。

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