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目的对比分析电凝止血和缝合止血两种不同的止血方式对腹腔镜下卵巢囊肿剔除术后卵巢功能的影响。方法 2013年1月至2014年2月从拟行腹腔镜下卵巢囊肿剔除术的40岁以下双侧卵巢囊肿患者中随机抽取120例纳入研究,并按入院顺序均分为A组和B组各60例,A组术中施予电凝止血,B组术中施予缝合止血。两组研究对象均于术后进行随访,分析比较两组术前、术后1、3、6个月的外周血雌二醇(E2)、黄体生成素(LH)、卵泡刺激素(FSH)水平以及排卵、月经量、月经周期变化情况。结果术前以及术后1、3个月时3项指标两组比较差异均无统计学意义(P均>0.05);术后6个月时A组的FSH、LH水平明显高于B组,而E2的水平明显低于B组(P均<0.05)。随访期间A组中经量过少、经期延长的发生率明显多于B组(P均<0.05)。结论腹腔镜下卵巢囊肿剥除术中对创面采用缝合的方式行止血,可使卵巢功能得到更大程度的保护,优于电凝止血。
Objective To compare the effects of two different hemostatic methods, including electrocoagulation and suture and hemostasis, on the ovarian function after laparoscopic ovarian cyst excision. Methods From January 2013 to February 2014, 120 patients with bilateral ovarian cysts under 40 years of age undergoing laparoscopic ovarian cyst resection were randomly enrolled in the study and divided into two groups according to the order of admission: group A and group B A group of 60 patients were given intraoperative electrocoagulation hemostasis, B group intraoperative suture hemostasis. The two groups of patients were followed up after operation. The levels of estradiol (E2), luteinizing hormone (LH), follicle stimulating hormone (FSH) in the two groups before and 1, Level and ovulation, menstrual flow, menstrual cycle changes. Results There was no significant difference in the three indexes between preoperative and postoperative 1, 3 months (P> 0.05). At 6 months after operation, the levels of FSH and LH in group A were significantly higher than those in group B, While the level of E2 was significantly lower than that of group B (all P <0.05). During the follow-up, the incidence of over-dose and prolonged menstruation in group A were significantly higher than those in group B (all P <0.05). Conclusion laparoscopic ovarian cyst stripping wounds on the way to stop bleeding, ovarian function can be a greater degree of protection, better than the coagulation to stop bleeding.