腹腔镜卵巢囊肿剔除术缝合止血与电凝止血对卵巢储备功能的影响分析  

Effect analysis of suture hemostasis and electrocoagulation hemostasis on ovarian reserve function in laparoscopic ovarian cyst removal

作　　者：马大银 胡桂平 MA Da-yin;HU Gui-ping(Department of Gynecology and Obstetrics,Tongshan District Hospital of Traditional Chinese Medicine,Xuzhou 221122,China)

机构地区：[1]江苏省徐州市铜山区中医院妇产科,221122

出　　处：《中国实用医药》2022年第22期72-74,共3页China Practical Medicine

摘　　要：目的探究腹腔镜卵巢囊肿剔除术缝合止血与电凝止血对卵巢储备功能的影响。方法126例进行腹腔镜卵巢囊肿剔除术患者,以不同止血方法分为A组和B组,每组63例。A组采用电凝止血,B组采用缝合止血。比较两组患者手术前后卵巢储备功能指标[血清雌二醇(E_(2))、卵泡刺激素(FSH)、黄体生成素(LH)]水平以及术后并发症发生情况。结果两组患者术后1、3个月E_(2)水平低于术前,FSH、LH高于术前,且A组术后1个月E_(2)(291.43±19.23)pmol/L、术后3个月E_(2)(294.39±21.27)pmol/L均低于B组的(304.19±21.11)、(305.63±20.41)pmol/L,术后1个月FSH(10.45±1.37)U/L、术后3个月FSH(9.35±2.00)U/L均高于B组的(7.53±1.33)、(7.40±1.27)U/L,术后1个月LH(8.25±2.11)U/L、术后3个月LH(9.35±2.20)U/L均高于B组的(6.15±1.43)、(6.30±1.19)U/L,差异均具有统计学意义(P<0.05)。两组患者并发症发生率比较,差异无统计学意义(χ^(2)=1.29,P>0.05)。结论腹腔镜卵巢囊肿剔除术患者采取电凝止血、缝合止血的临床安全性相当,但缝合止血对患者影响较轻,可有效维持患者正常的卵巢储备功能,值得推荐。Objective To investigate the effect of suture hemostasis and electrocoagulation hemostasis on ovarian reserve function in laparoscopic ovarian cyst removal.Methods A total of 126 patients with laparoscopic ovarian cyst removal were divided into group A and group B by different hemostasis methods,with 63 cases in each group.Group A used electrocoagulation hemostasis,and group B used suture hemostasis.The ovarian reserve function indexes[serum estradiol(E_(2)),follicle-stimulating hormone(FSH),luteinizing hormone(LH)]before and after surgery,and postoperative complications were compared between the two groups.Results At 1 and 3 months after surgery,the E_(2) in the two groups were lower than those before surgery in this group,and the FSH and LH were higher than those before surgery in this group;the E_(2)(291.43±19.23)pmol/L at 1 month after surgery and the E_(2)(294.39±21.27)pmol/L at 3 months after surgery in group A were lower than(304.19±21.11)and(305.63±20.41)pmol/L in group B;the FSH(10.45±1.37)U/L at 1 month after surgery and(9.35±2.00)U/L at 3 months after surgery in group A were higher than(7.53±1.33)and(7.40±1.27)U/L in group B;the LH(8.25±2.11)U/L at 1 month after surgery and(9.35±2.20)U/L at 3 months after surgery in group A were higher than(6.15±1.43)and(6.30±1.19)U/L in group B;the differences were all statistically significant(P<0.05).There was no statistically significant difference in the incidence of complications between the two groups(χ^(2)=1.29,P>0.05).Conclusion The clinical safety of electrocoagulation hemostasis and suture hemostasis in patients with laparoscopic ovarian cyst removal are equivalent,but the influence of suture hemostasis on patients is lighter than that of electrocoagulation hemostasis,which can effectively maintain the normal ovarian reserve function of patients,which is worthy of recommendation.

关 键 词：腹腔镜卵巢囊肿剔除术 缝合止血 电凝止血 卵巢储备功能 

分 类 号：R737.31[医药卫生—肿瘤]