目的 探讨电凝止血法对腹腔镜下卵巢囊肿剥除术后卵巢功能的影响.方法 将我院2009年2月～2010年6月收治的120例卵巢囊肿的患者随机分为观察组和对照组,两组均采用腹腔镜卵巢囊肿剥除术治疗,对照组采用缝合法止血,观察组采用双极电凝止血法,比较两组患者术后的卵巢功能.结果 观察组与对照组术后1个月的雌二醇(E2)、黄体生成素(LH)、促卵泡激素(FSH)水平、窦状卵泡数(AFC)无差异(P＞0.05)；但术后3个月的E2、LH、FSH、AFC有差异(P＜0.05);对照组在月经改变、围绝经期综合征的发生率、妊娠情况方面显著优于观察组(P＜0.05).结论 双极电凝止血会降低卵巢的储备功能,对卵巢造成一定的损伤.%Objective To investigate the influence on ovarian function after using bipolar electrocoagulation hemostasis in laparoscopic cystectomy for ovarian cyst. Methods 120 cases of ovarian cyst patients in our hospital from 2009 February to 2010 June were randomly divided into the observation group and the control group, they were all using laparoscopic cystectomy, the observation group was treated with bipolar electrocoagulation hemostasis, while the control group was treated with suture hemostasis, they were compared with the ovarian function after the operation. Results 1 months after the operation, the estradiol (E2), luteinizing hormone (LH), follicle-stimulating hormone (FSH) levels, antral follicle number (AFC) had no significant difference between the two groups (P > 0.05); however, 3 months after operation, E2, LH, FSH, AFC was significant difference between the two groups (P < 0.05); the menstrual changes, perimenopausal syndrome incidence, pregnancy in the control group was significantly better than the observation group (P < 0.05). Conclusion The bipolar coagulation hemostasis reduces ovarian reserve function, it can aggravate the damage of the ovarian function.
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