腹腔镜下卵巢囊肿剥除术用缝合止血和电凝止血对患者术后卵巢功能的影响  

Effects of suturing hemostasis and electrocoagulation hemostasis on ovarian function in patients undergoing laparoscopic ovarian cystectomy

作　　者：陈誉[1] 刘惠芬[1] 孙颖[1] 陈媛[1] 谢玉珍 

机构地区：[1]惠州市中心人民医院妇科,广东惠州516001

出　　处：《华夏医学》2017年第6期55-58,共4页Acta Medicinae Sinica

摘　　要：目的:探讨腹腔镜下卵巢囊肿剥除术中采用缝合和电凝两种止血方法对患者术后卵巢功能的影响。方法:将我院妇科收治的卵巢囊肿经腹腔镜剥除术患者60例按止血方法不同分为电凝止血组(对照组)和缝合止血组(观察组)各30例,比较两组患者术前及术后3月卵巢功能。结果:术后3月,观察组FSH、LH、E2、AFC水平与术前比较无统计学意义(P>0.05),对照组FSH、LH、E2、AFC水平与术前比较有统计学意义(P<0.05);对照组FSH、LH水平明显高于观察组,E2、AFC水平低于观察组,两组比较有统计学意义(P<0.05)。观察组排卵及月经异常总发生率低于对照组,两组比较有统计学意义(P<0.05)。结论:腹腔镜下卵巢囊肿剥除术中应用缝合止血法相较于电凝止血法优势更显著,可有效减轻残留卵巢组织的损伤程度,有利于术后卵巢功能恢复。Objective： To investigate the effect of two coagulation on ovarian function after laparoscopic kinds of hemostatic methods of stapling and ovarian cystectomy. Methods：Select 60 case of ovarian cysts undergoing laparoscopic surgery in our hospital gynecological department, divided them into electrocoagulation hemostasis group （control group） and suture hemostasis group （observation group）, each group contained 30 cases. The ovarian function of the two groups of patients were compared before and after three months of operation. Results ： After three months of operation, The levels of FSH, LH, E2 and AFC in the observation group were no change as compared with those before operation （P〉0.05）. But the levels of FSH, LH, E2 and AFC in the control group were changed significantly with statistical significace （P〈0.05）. The levels of FSH and LH in the control group were significantly higher than those in the observation group, while the levels of E2 and AFC were lower than those in the observation group with statistical significace （P〈 0.05 ）. The overall incidence of ovulation and menstrual abnormalities in the observation group was lower than that in the control group with statistical significance （P 〈0. 05 ）. Conclusion： Laparoseopic ovarian cystectomy in the application of suture hemostasis compared to the advantages of electrocoagulation hemostasis is more significant, effectively reduce the residual ovarian tissue damage, is conducive to postoperative ovarian function recovery.

关 键 词：腹腔镜 卵巢囊肿剥除术 缝合止血 电凝止血 卵巢功能 

分 类 号：R713.6[医药卫生—妇产科学]