不同卵巢缝合止血方式对卵巢囊肿剥离术后患者卵巢功能的影响分析  

Effect of ovarian suture and hemostasis on ovarian function after ovarian cyst dissection

作　　者：唐秀萍[1] 刘良英[1] 杨萍[1] TANG Xiuping;LIU Liangying;YANG Ping(Department of Obstetrics and Gynecology,Daying County People′s Hospital in Suining City of Sichuan Province,Suining 629300,Sichuan,China)

机构地区：[1]四川省遂宁市大英县人民医院妇产科,四川遂宁629300

出　　处：《中国性科学》2018年第12期92-95,共4页Chinese Journal of Human Sexuality

摘　　要：目的:探讨不同的卵巢缝合止血方式对卵巢囊肿剥离术后患者卵巢功能的影响。方法:选取2015年1月至2016年1月四川省遂宁市大英县人民医院收治的拟行卵巢囊肿剥离术治疗的90例患者作为研究对象,根据止血方式的不同将其分为A组、B组和C组,每组均为30例患者。其中,A组患者采用双极电凝进行止血,B组患者采用超声刀进行止血,C组患者则配合缝合止血。分别对三组患者手术前后卵巢功能的相关指标、手术相关指标和血流动力学变化进行客观测定。结果:手术前,三组患者的血清卵泡刺激素(FSH)、黄体生成素(LH)和雌二醇(E2)等卵巢功能相关指标比较,其差异均无统计学意义(均P> 0. 05)。手术后,三组患者的FSH、LH和E2水平呈现不同的变化,其中A组患者的FSH、LH明显高于其他两组患者,而B组和C组患者的E2水平更高,其差异均具有统计学意义(均P <0. 05); B组和C组患者的FSH、LH和E2水平比较,其差异均无统计学意义(均P>0. 05);三组患者的手术时间、术中出血量和手术相关并发症比较,其差异均无统计学意义(均P>0. 05);此外,A组和B组患者术后心输出量(CO)、每搏量(SV)和平均动脉压(MAP)均比术前明显上升,其差异均具有统计学意义(均P <0. 05),而C组患者的CO、SV和MAP与术前比较,其差异均无统计学意义(均P>0. 05);三组患者间,比较不同止血方式在卵巢囊肿剥离术后卵巢的功能,其差异具有统计学意义(P <0. 05)。结论:3种不同止血方式均可以在一定程度上减少卵巢囊肿剥离术中出血量,且可以有效保护患者卵巢功能,但缝合止血的效果相对更为明显,且有利于稳定患者术中血流动力学。Objective:To investigate the effect of different ovarian suture on ovarian function after ovarian cyst dissection.Methods: From January 2015 to January 2016, ninety patients with ovarian cyst dissection treated in Daying County People′s Hospital of Suining City,Sichuan Province were selected as the study subjects,according to the different hemostatic methods for A group(n=30),B group(n=30)and C group(n=30),the A group of patients with bipolar coagulation hemostasis,B groups of patients hemostasis by ultrasonic knife,C group with suture hemostasis.The indexes of ovarian function,the related indexes of operation and the changes of hemodynamics were measured in three groups of patients before and after operation.Results:Before the surgery,three groups of patients with serum follicle stimulating hormone(FSH)and luteinizing hormone(LH)and estradiol(E2)there was no significant difference between ovarian function index(all P>0.05).After surgery,three groups of patients with FSH,LH and E2 levels showed different changes in the among them,FSH and LH in A group were significantly higher than the other two groups,while the E2 level of B group and C group was higher significantly(all P<0.05),the B group and C group FSH,LH and E2 levels were not significantly different(all P>0.05);The operation time,three groups of patients in the different amount of bleeding and postoperative complications is not obvious(all P>0.05);in addition,cardiac output in patients with A group and B group(CO),stroke volume(SV)and mean arterial pressure(MAP)increased significantly compared with the preoperative,significant difference,(all P<0.05)Cgroup CO,SV and MAP compared with the preoperative(all P>0.05),no significant difference between the three groups after operation there is also difference(P<0.05).Conclusions:Three different hemostasis methods can reduce bleeding during operation of ovarian cysts in a certain extent,and can effectively protect ovarian function,but the effect of suture hemostasis is more obvious,and is conducive to stabilizin

关 键 词：缝合止血 超声刀 电凝 卵巢功能 

分 类 号：R713.6[医药卫生—妇产科学]