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目的探究腹腔镜手术治疗卵巢良性肿瘤缝合止血和电凝止血对术后卵巢储备功能的影响。方法选取该院2013年10月-2015年2月收治的90例卵巢良性肿瘤患者为研究对象,随机分为试验组和对照组,每组各45例。均采用腹腔镜手术行肿瘤剥除术,其中试验组术后采用缝合止血。对照组则采用电凝止血,分别观察记录两组患者手术前后窦卵泡数、卵泡数、卵子数、术后3个月雌激素水平、首次月经复潮时间及卵巢大小。结果术后对照组患者窦卵泡数、卵泡数及卵子数明显降低,且明显少于试验组患者,差异具有统计学意义(P<0.05)。两组患者治疗后卵泡刺激素(FSH)、黄体生成素(LH)及雌二醇(E2)明显降低,试验组FSH及LH下降得更加显著,对照组E2下降得更加显著,差异具有统计学意义(P<0.05)。试验组患者术后首次月经复潮时间明显短于对照组患者,且其术后3个月卵巢明显大于对照组,差异具有统计学意义(P<0.05)。结论腹腔镜手术治疗卵巢良性肿瘤结合缝合止血与电凝止血患者卵巢储备功能相比具有更好的保护性,可作为一种理想方法应用于临床工作中。
Objective To investigate the effect of laparoscopic surgery on benign and malignant ovarian tumors after suture hemostasis and hemostasis on postoperative ovarian reserve. Methods Ninety patients with benign ovarian tumors who were admitted to our hospital from October 2013 to February 2015 were selected and randomly divided into experimental group and control group, with 45 cases in each group. All patients underwent laparoscopic surgery for tumor stripping, in which the experimental group received suture hemostasis. The control group was treated with electrocoagulation and hemostasis. The number of antral follicles, number of follicles, number of oocytes, estrogen level at 3 months postoperatively, the time of the first menstrual cycle and ovarian size were recorded and recorded before surgery. Results The number of antral follicles, follicles and ovum in the control group were significantly lower than those in the experimental group (P <0.05). After treatment, FSH, LH and E2 were significantly decreased in both groups, FSH and LH decreased more significantly in the experimental group, E2 decreased more significantly in the control group, the difference was statistically significant Significance (P <0.05). The time of the first menstrual resuscitation in the experimental group was significantly shorter than that in the control group, and the ovary at 3 months after operation was significantly larger than that in the control group (P <0.05). Conclusions Laparoscopic surgery for benign ovarian tumors combined with suture hemostasis has better protection than ovarian reserve in patients with coagulation hemostasis, which can be used as an ideal method in clinical work.